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ROGERS BEHAVIORAL HEALTH PRACTICE - WASHINGTON, P.C.

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Company Details

Legal Name: ROGERS BEHAVIORAL HEALTH PRACTICE - WASHINGTON, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 12th 2020
Expiration date: 31 Aug 2025
UBI Number: 604 647 460
Home State: WISCONSIN
Principal Office Street Address: Google Maps Logo 34700 VALLEY ROAD, OCONOMOWOC, WI, 53066, UNITED STATES

Contact Details

E-Mail: CONTRACTS@ROGERSBH.ORG
Phone Number: +1 800-767-4411

Nature of Business

Other Services, MENTAL HEALTH CLINIC

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Registered Agent Information

Name Role
REGISTERED AGENTS INC Registered Agent

Key Officers & Management

Name Role Address
CINDY MEYER Governing Person -
JERRY HALVERSON Governing Person -
JERRY L HALVERSON, MD INCORPORATOR 1230 CORPORATE VALLEY RD, OCONOMOWOC, WI, 53066, UNITED STATES

National Provider Identifier

NPI Number:
1306442942
Certification Date:
2024-06-27

Authorized Person:

Name:
CINDY MEYER
Role:
PRESIDENT & CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
2083A0300X - Addiction Medicine (Preventive Medicine) Physician
Is Primary:
No
Selected Taxonomy:
2084P0802X - Addiction Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0805X - Geriatric Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
4259563901
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