Provider Demographics
NPI:1881437754
Name:BAY AREA BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:BAY AREA BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RISA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:920-615-6951
Mailing Address - Street 1:1150 SPRINGHURST DR STE 102
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-5950
Mailing Address - Country:US
Mailing Address - Phone:920-393-1304
Mailing Address - Fax:920-383-8181
Practice Address - Street 1:1150 SPRINGHURST DR STE 102
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5950
Practice Address - Country:US
Practice Address - Phone:920-393-1304
Practice Address - Fax:920-338-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health