Organization · Type 2 NPI
Spirited Psychological Services LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Grantsburg, WI
NPI number
1780234955
Active
Practice location
376 Violet Cir
Grantsburg, WI 54840-8564
Mailing address
PO Box 502
Grantsburg, WI 54840-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Point of Service | 305S00000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1780234955
Spirited Psychological Services LLC's National Provider Identifier is 1780234955, issued on Sep 18, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Grantsburg, WI. The record was last updated on Sep 18, 2019.