Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 204 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2789 MILWAUKEE MENTAL HEALTH ASSOCIATES ARTHUR NOBLE 821 W STATE STREET, RM 205 MILWAUKEE, WI 53233 County: Milwaukee artnoble@ameritech.net Phone: (414) 873-4960 Fax: (414) 873-4990 Surveyor: Demetrius Anderson Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 06/20/2008 07/01/2009 06/30/2010 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 1652 MILWAUKEE WELLNESS CLINIC, INC. WENDY WALSH 4465 N OAKLAND AVENUE MILWAUKEE, WI 53211 County: Milwaukee No Email Address Provided Phone: (414) 961-1440 Fax: No Number Provided Surveyor: Demetrius Anderson Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 10/01/1978 11/01/2009 10/31/2011 Mental Health Outpatient Clinic DHS 35 2891 MINDSTAR COUNSELING, LLC STARLETTE PATTERSON 8532 W CAPITOL DRIVE, #200 MILWAUKEE, WI 53222 County: Milwaukee mindstarcounseling@yahoo.com Phone: (414) 435-1115 Fax: (414) 435-0543 Surveyor: Demetrius Anderson Services NO BRANCH LOCATIONS 07/01/2009 06/30/2010 07/01/2009 06/30/2010 Administrative Code Chapter Service Begin/End Dates 12/01/2009 12/01/2010 11/30/2012 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 11/01/2009 10/31/2011 Administrative Code Chapter Service Begin/End Dates 12/01/2010 11/30/2012
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 205 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1216 MINISTRY BEHAVIORAL HEALTH LAURIE ROBERTS 201 PRENTICE STREET NORTH STEVENS POINT, WI 54481 County: Portage No Email Address Provided Phone: (715) 345-0711 Fax: (715) 345-0223 Surveyor: Bradley Jahr Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 10/01/1990 07/01/2011 06/30/2013 CSAS-Medically Monitored Treatment DHS 75.11 CSAS-Transitional Residential DHS 75.14 1217 MINISTRY BEHAVIORAL HEALTH LAURIE ROBERTS 209 PRENTICE STREET NORTH STEVENS POINT, WI 54481 County: Portage No Email Address Provided Phone: (715) 344-4611 Fax: (715) 344-8127 Surveyor: Bradley Jahr Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 05/01/1991 07/01/2011 06/30/2013 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 2645 MINISTRY BEHAVIORAL HEALTH TERESA TAYLOR 190 GRAND SEASONS DRIVE WAUPACA, WI 54981 County: Waupaca terri.taylor@ministryhealth.org Phone: (715) 258-8459 Fax: (715) 258-0878 Surveyor: Bradley Jahr Services NO BRANCH LOCATIONS 07/01/2011 06/30/2013 07/01/2011 06/30/2013 Administrative Code Chapter Service Begin/End Dates 02/01/2006 02/01/2012 01/31/2014 Mental Health Outpatient Clinic DHS 35 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 07/01/2011 06/30/2013 07/01/2011 06/30/2013 07/01/2011 06/30/2013 Administrative Code Chapter Service Begin/End Dates 02/01/2012 01/31/2014 02/01/2012 01/31/2014
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Mental Health and Substance Abuse Programs in alphabetical

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