VALLEY BIRCH, LLC


Address: 249 Rittenhouse Avenue, Bayfield, WI 54814
Phone: 7157795678

VALLEY BIRCH, LLC (NPI# 1265812481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265812481
Entity Type Organization
Organization Name VALLEY BIRCH, LLC
Practice Address 249 Rittenhouse Avenue
Bayfield
WI 54814
Mailing Address Po Box 654
Bayfield
WI 54814-0654
Practice Telephone 7157795678
Enumeration Date 2015-06-03
Last Update Date 2015-06-03
Authorized Official Name DR. DAWN NIXON (OWNER)
Authorized Official Telephone 7157795678
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 280957 WI Agencies

Office Location

Street Address 249 RITTENHOUSE AVENUE
City BAYFIELD
State WI
Zip Code 54814

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1902077464 Red Cliff Band of Lake Superior Chippewa Registered Nurse 88455 Pike Road, Bayfield, WI 54814 2008-03-12
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1730102203 Barbara M Tellier Pharmacist 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-25
1609898055 Jacob P Geisler Social Worker 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-24
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1780234955 Spirited Psychological Services LLC Community/Behavioral Health 376 Violet Cir, Grantsburg, WI 54840-8564 2019-09-18
1548816580 Latara Williams Community/Behavioral Health 2447 N 50th St, Milwaukee, WI 53210-2815 2019-08-15
1942856091 Kennedy's Circle of Wellness LLC Community/Behavioral Health 3614 W North Ave, Milwaukee, WI 53208-1416 2019-08-14
1104386101 Counseling Center Community/Behavioral Health 601 N 5th St, Sheboygan, WI 53081-4624 2019-03-25
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Competitor

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City BAYFIELD
Zip Code 54814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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