Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Mental Health and Substance Abuse Programs in alphabetical
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
DEPARTMENT OF HEALTH SERVICES<br />
Division of Quality Assurance<br />
Pr<strong>in</strong>t Date: 08/28/2012<br />
Page 99 of 335<br />
Certification Number/<br />
Certified Provider's Ma<strong>in</strong> Site/<br />
Email/Telephone<br />
1319<br />
FAMILY COUNSELING CENTER, LLC<br />
MARY NERVIG<br />
8112 W. BLUEMOUND ROAD, #106<br />
WAUWATOSA, WI 53213<br />
County: Milwaukee<br />
mznervig@msn.com<br />
Phone: (414) 258-5523<br />
Fax: (414) 431-1071<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 />
02/01/1990<br />
02/01/2009<br />
01/31/2010<br />
<strong>Mental</strong> <strong>Health</strong>-Outpatient DHS 61.91<br />
1321<br />
FAMILY COUNSELING SERVICES<br />
ANDREW BENEDETTO<br />
903 SECOND STREET<br />
WAUSAU, WI 54403<br />
County: Marathon<br />
ABenedetto@familycounsel<strong>in</strong>gservices.org<br />
Phone: (715) 842-3346<br />
Fax: (715) 842-3344<br />
Surveyor: Bradley Jahr<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 />
11/01/1979<br />
01/01/2012<br />
12/31/2013<br />
<strong>Mental</strong> <strong>Health</strong> Outpatient Cl<strong>in</strong>ic DHS 35<br />
CSAS-Outpatient Treatment DHS 75.13<br />
1124<br />
FAMILY CRISIS CENTER - CAP SERVICES<br />
MARCIA ZIMBAUER<br />
1616 W. RIVER DRIVE<br />
STEVENS POINT, WI 54481<br />
County: Portage<br />
mzimbauer@capmail.org<br />
Phone: (715) 343-7102<br />
Fax: (715) 343-7176<br />
Surveyor: Bradley Jahr<br />
Services<br />
02/01/2009 01/31/2010<br />
FAMILY COUNSELING SERVICES Tier 1<br />
726 E SECOND STREET<br />
01/01/2012<br />
MERRILL, WI 54452<br />
12/31/2013<br />
THE WOMEN'S COMMUNITY Tier 1<br />
3200 HILLTOP AVE<br />
09/01/2012<br />
WAUSAU, WI 54401<br />
12/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
02/01/1998<br />
04/01/2009<br />
01/31/2011<br />
CSAS-Emergency Outpatient DHS 75.05<br />
<strong>Mental</strong> <strong>Health</strong>-Emergency Service 2 DHS 34.2<br />
NO BRANCH LOCATIONS<br />
01/01/2012 12/31/2013<br />
01/01/2012 12/31/2013<br />
Adm<strong>in</strong>istrative<br />
Code Chapter Service Beg<strong>in</strong>/End Dates<br />
04/01/2009 01/31/2011<br />
04/01/2009 01/31/2011
Change language