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 324 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1986<br />
WHITE'S RESIDENTIAL TREATMENT AND<br />
CLINICAL SERVICES, INC.<br />
LANELL WHITE<br />
2811 W. NORTH AVENUE<br />
MILWAUKEE, WI 53208<br />
County: Milwaukee<br />
whitesrtf@sbcglobal.com<br />
Phone: (414) 372-3713<br />
Fax: (414) 372-3732<br />
Surveyor: Demetrius Anderson<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 />
01/07/1998<br />
10/01/2010<br />
09/30/2012<br />
CSAS-Transitional Residential DHS 75.14<br />
2665<br />
WHITE'S RESIDENTIAL TREATMENT AND<br />
CLINICAL SERVICES, INC.<br />
LANELL WHITE<br />
4020 W BURLEIGH STREET<br />
MILWAUKEE, WI 53210<br />
County: Milwaukee<br />
whitesrtf@sbcglobal.net<br />
Phone: (414) 445-7288<br />
Fax: (414) 445-7708<br />
Surveyor: William Goehr<strong>in</strong>g<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 />
04/11/2006<br />
04/01/2011<br />
03/31/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Day Treatment DHS 75.12<br />
CSAS-Outpatient Treatment DHS 75.13<br />
1989<br />
WHOLISTIC HEALTH COUNSELING SERVICES<br />
MARIANNE HELM<br />
5934 S. BUSINESS DRIVE, HWY OK<br />
SHEBOYGAN, WI 53081<br />
County: Sheboygan<br />
wholistic@choiceonemail.com<br />
Phone: (920) 459-9277<br />
Fax: (920) 459-7920<br />
Surveyor: William Goehr<strong>in</strong>g<br />
Services<br />
NO BRANCH LOCATIONS<br />
10/01/2010 09/30/2012<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
04/18/1990<br />
05/01/2011<br />
04/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
NO BRANCH LOCATIONS<br />
04/01/2012 10/31/2012<br />
07/01/2011 03/31/2012<br />
04/01/2011 03/31/2013<br />
04/01/2011 03/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/01/2011 04/30/2013
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