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Dominion Behavioral Health Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Menomonee Falls, WI. Organization (NPI-2).

NPI number1184405565
StatusActive
Last updated in NPPESOct 11, 2023

Details

NPI
1184405565
Entity type
Organization (NPI-2)
Legal business name
Dominion Behavioral Health Services, LLC
Organization subpart
No
Enumeration date
Oct 11, 2023
Certification date
Oct 11, 2023
Last updated
Oct 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

W132n6303 Marach Rd
Menomonee Falls, WI 53051-6022

Phone 262-751-7507 · Fax 262-252-7567

Mailing address

W132n6303 Marach Rd
Menomonee Falls, WI 53051-6022

Phone 262-751-7507 · Fax 262-252-7567

Authorized official

Francine Dixon
Owner/Psychotherapist
2627517507

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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