Organization · Type 2 NPI

Tall Pines Behavioral Health LLC

Health Service Psychologist · Wausau, WI

NPI number 1215519764 Active

Practice location

100 N 72nd Ave
Wausau, WI 54401-9042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

6 other providers at this address

About NPI 1215519764

Tall Pines Behavioral Health LLC's National Provider Identifier is 1215519764, issued on Apr 24, 2021. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Wausau, WI. The record was last updated on Apr 27, 2026.