Optum Behavioral Care Of Colorado, P.C.
Psychologist, Counseling in Appleton, WI. Organization (NPI-2).
NPI number1487424826
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1487424826
- Entity type
- Organization (NPI-2)
- Legal business name
- Optum Behavioral Care Of Colorado, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 8, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
Other names
- Sherman Counseling Of Wisconsin (Doing Business As)
Practice location
W6144 Aerotech DrAppleton, WI 54914-7503
Phone 704-506-6267
Mailing address
11000 Optum CirEden Prairie, MN 55344-2503
Phone 704-506-6267
Authorized official
Leslie Johnson
Ceo
7045066267
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