Woodlan Youth and Family Services
Organization Active NPI Community/Behavioral Health Agency · Cornell, WI
NPI 1679019269 · NPPES record last updated Jan 6, 2017
Key facts
- NPI
- 1679019269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- WOODLAN YOUTH AND FAMILY SERVICES
- Practice address
- 20499 270TH St.
Cornell, WI 54732-0201 - Phone
- (715) 202-0434
- NPI assigned
- Jan 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Michelle Linda Phelps, MS LPC SAC
- Title
- Ass. Administrator
- Phone
- (715) 202-0434
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
20499 270TH St.
Cornell, WI 54732-0201
Mailing address
PO Box 201
Cornell, WI 54732-0201
Phone (715) 202-0434
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3739-125 | Other | WI | STATE OF WISCONSIN LICENSINGAND REGULATION |
Other providers in Cornell, WI
All providers in Cornell, WI · Community/Behavioral Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.