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 272 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 1834 SHEBOYGAN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES JODY A GALLAWAY, PSYD 1011 N. 8TH STREET SHEBOYGAN, WI 53081 County: Sheboygan humsrv@co.sheboygan.wi.us Phone: (920) 459-3155 Fax: (920) 459-4353 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 07/01/1986 10/01/2010 09/30/2012 Mental Health Outpatient Clinic DHS 35 Mental Health Outpatient Clinic with Telehealth DHS 35 CSAS-Emergency Outpatient DHS 75.05 CSAS-Outpatient Treatment DHS 75.13 Mental Health-Emergency Service 3 DHS 34.3 2667 SHEBOYGAN COUNTY HEALTH & HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES AMY CULVER 1011 N 8TH STREET SHEBOYGAN, WI 53081 County: Sheboygan culveajc@co.sheboygan.wi.us Phone: (920) 459-3171 Fax: (920) 459-4353 Surveyor: Frank Bellaire 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 05/01/2006 06/01/2012 05/31/2013 Comprehensive Community Services (CCS) DHS 36 2945 SHECAR SUBSTANCE ABUSE/MENTAL HEALTH OUTPATIENT TREATMENT CENTER, LLC SHEILA R RAMOS 2821 N 4TH STREET, #308 MILWAUKEE, WI 53212 County: Milwaukee shecar02@yahoo.com Phone: (414) 372-3903 Fax: (414) 372-3964 Surveyor: Demetrius Anderson Services NO BRANCH LOCATIONS 10/01/2010 09/30/2012 10/01/2010 09/30/2012 10/01/2010 09/30/2012 10/01/2010 09/30/2012 10/01/2010 09/30/2012 Administrative Code Chapter Service Begin/End Dates 06/27/2011 07/01/2012 08/31/2012 Mental Health Outpatient Clinic DHS 35 CSAS-Day Treatment DHS 75.12 CSAS-Outpatient Treatment DHS 75.13 NO BRANCH LOCATIONS 06/01/2012 05/31/2013 Administrative Code Chapter Service Begin/End Dates 07/01/2012 08/31/2012 07/01/2012 08/31/2012 07/01/2012 08/31/2012
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 273 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2582 SHERMAN CONSULTING OSHKOSH HANK SHERMAN, PHD 2370 STATE ROAD 44, #D OSHKOSH, WI 54904 County: Winnebago shermanconsultingllc@yahoo.com Phone: (920) 230-2065 Fax: (920) 230-6565 Surveyor: Frank Bellaire Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 03/03/2005 04/01/2012 03/31/2014 Mental Health Outpatient Clinic DHS 35 2450 SHERMAN CONSULTING, LLC HANK SHERMAN, PH.D. W6144 AREOTECH DRIVE APPLETON, WI 54913 County: Outagamie shermanconsultingllc@yahoo.com Phone: (920) 230-2065 Fax: (920) 230-6565 Surveyor: Frank Bellaire 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 06/05/2003 06/01/2012 05/31/2014 Mental Health Outpatient Clinic DHS 35 2261 SHERYL A. VAN HAREN, MSW SHERYL A VAN HAREN 7635 W. BLUEMOUND ROAD, #206 WAUWATOSA, WI 53213 County: Milwaukee svanharen@sbcglobal.net Phone: (414) 479-9779 Fax: (414) 479-9775 Surveyor: Demetrius Anderson Services 04/01/2012 03/31/2014 SHERMAN CONSULTING, LLC Tier 1 1825 S WEBSTER AVENUE STE 203 06/01/2012 GREEN BAY, WI 54301 05/31/2014 Administrative Code Chapter Service Begin/End Dates 09/28/2000 10/01/2007 09/30/2009 Mental Health-Outpatient DHS 61.91 NO BRANCH LOCATIONS 06/01/2012 05/31/2014 Administrative Code Chapter Service Begin/End Dates 10/01/2007 09/30/2009
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Mental Health and Substance Abuse Programs in alphabetical

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