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 61 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1196<br />
CHIPPEWA COUNTY DHS COMMUNITY MENTAL<br />
HEALTH AND RECOVERY SERVICES<br />
SUE KLINGER<br />
711 N. BRIDGE STREET, RM 122<br />
CHIPPEWA FALLS, WI 54729<br />
County: Chippewa<br />
skl<strong>in</strong>ger@co.chippewa.wi.us<br />
Phone: (715) 726-7775<br />
Fax: (715) 726-4560<br />
Surveyor: Polly Wong<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 />
10/01/1975<br />
05/01/2011<br />
04/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 3 DHS 34.3<br />
2687<br />
CHRISTIAN LIFE COUNSELING, LLC<br />
DR ERIC SEYBOLD<br />
12690 W NORTH AVENUE<br />
BROOKFIELD, WI 53005<br />
County: Waukesha<br />
eseybold@christianlifecounsel<strong>in</strong>g.net<br />
Phone: (262) 785-1008<br />
Fax: (262) 785-0644<br />
Surveyor: Mark Isaacs<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 />
09/05/2006<br />
10/01/2011<br />
09/30/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
1200<br />
CINDY MILNER CLINIC<br />
CINDY MILNER<br />
410 S 3RD STREET<br />
MILWAUKEE, WI 53204<br />
County: Milwaukee<br />
renfield49@mac.com<br />
Phone: (414) 278-8513<br />
Fax: (414) 278-0726<br />
Surveyor: Demetrius Anderson<br />
Services<br />
05/01/2011 04/30/2013<br />
05/01/2011 04/30/2013<br />
CHRISTIAN LIFE COUNSELING, LLC Tier 1<br />
8800 W BLUEMOUND ROAD<br />
10/01/2011<br />
MILWAUKEE, WI 53226<br />
09/30/2013<br />
CHRISTIAN LIFE COUNSELING, LLC Tier 1<br />
W175 N11163 STONEWOOD DRIVE<br />
10/01/2011<br />
GERMANTOWN, WI 53022<br />
09/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
10/01/1984<br />
05/01/2010<br />
09/30/2011<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
NO BRANCH LOCATIONS<br />
10/01/2011 09/30/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
05/01/2010 09/30/2011
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