Provider Demographics
NPI:1760652143
Name:BELWOOD LTD./BELL THERAPY MENTAL HEALTH OUTPATIENT CLINIC
Entity Type:Organization
Organization Name:BELWOOD LTD./BELL THERAPY MENTAL HEALTH OUTPATIENT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OUTPATIENT/COMMUNITY PROGR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-527-6970
Mailing Address - Street 1:5151 W SILVER SPRING DR
Mailing Address - Street 2:WEST WING ROOM B 25
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3300
Mailing Address - Country:US
Mailing Address - Phone:414-527-6970
Mailing Address - Fax:
Practice Address - Street 1:5151 W SILVER SPRING DR
Practice Address - Street 2:WEST WING ROOM B 25
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3300
Practice Address - Country:US
Practice Address - Phone:414-527-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1102261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42143400Medicaid