Organization
BEHRENS PSYCHOTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA L BEHRENS LPC (PRESIDENT)
(262) 689-0688
Entity
Organization
Contact information
Practice address
140 S MAIN ST, THIENSVILLE, WI 53092-1956
(262) 689-0688
(262) 242-3219
Mailing address
10501 N MAGNOLIA DR, MEQUON, WI 53092-5532
(262) 689-0688
(262) 242-3219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4073-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518173772
INDIVIDUAL NPI #
WI
Enumeration date
01/27/2012
Last updated
01/27/2012
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