Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
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DEPARTMENT OF HEALTH SERVICES<br />
Division of Quality Assurance<br />
Pr<strong>in</strong>t Date: 08/28/2012<br />
Page 159 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
2046<br />
LEES PSYCHOLOGICAL SERVICES, INC.<br />
LAURA A. LEES, PSYD<br />
601 N 99TH STREET, #307<br />
WAUWATOSA, WI 53226<br />
County: Milwaukee<br />
heart<strong>and</strong>m<strong>in</strong>dmatters.com<br />
Phone: (414) 774-6878<br />
Fax: (414) 774-6879<br />
Surveyor: Mark Isaacs<br />
Services<br />
Community <strong>Substance</strong> <strong>Abuse</strong> <strong>and</strong> <strong>Mental</strong> <strong>Health</strong><br />
Program Certification Directory<br />
By Provider Name & Certification Number<br />
Initial Certification/<br />
Certification Effective/<br />
Certification Expires<br />
09/25/1998<br />
10/01/2011<br />
09/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
2869<br />
LEPAK-JOSTSONS, INC DBA DYNAMIC FAMILY<br />
SOLUTIONS<br />
JANE A LEPAK-JOSTSONS<br />
615 SOUTH 8TH ST SUITE 220<br />
SHEBOYGAN, WI 53081<br />
County: Sheboygan<br />
dfsjanelepakjostsons@excel.net<br />
Phone: (920) 323-2188<br />
Fax: (920) 358-5970<br />
Surveyor: Frank Bellaire<br />
Services<br />
STATE OF WISCONSIN<br />
Bureau of <strong>Health</strong> Services<br />
PO Box 2969<br />
Madison, WI 53701-2969<br />
Tier/<br />
Branch Beg<strong>in</strong>/<br />
Branch Location(s) End Dates<br />
NO BRANCH LOCATIONS<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
08/19/2009<br />
09/01/2012<br />
08/31/2014<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
2113<br />
LIBERTAS OF MARINETTE<br />
PATRICK RYAN<br />
1712 DUNLAP SQUARE BLDG, #5<br />
MARINETTE, WI 54143<br />
County: Mar<strong>in</strong>ette<br />
pryan@sjcf.hshs.org<br />
Phone: (715) 735-0095<br />
Fax: (715) 735-0094<br />
Surveyor: Frank Bellaire<br />
Services<br />
10/01/2011 09/30/2013<br />
DYNAMIC FAMILY SOLUTIONS Tier 1<br />
W1236 HWY FF<br />
09/01/2012<br />
HAVEN, WI 53083<br />
08/31/2014<br />
DYNAMIC FAMILY SOLUTIONS Tier 2<br />
ONE WALDO BLVD SUITE 3<br />
09/01/2012<br />
MANITOWOC, WI 54220<br />
08/31/2014<br />
DYNAMIC FAMILY SOLUTIONS Tier 2<br />
3021 HOLMGREN WAY<br />
09/01/2012<br />
GREEN BAY, WI 54305<br />
08/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/18/1999<br />
06/01/2012<br />
05/31/2014<br />
CSAS-Outpatient Treatment DHS 75.13<br />
NO BRANCH LOCATIONS<br />
09/01/2012 08/31/2014<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
06/01/2012 05/31/2014