OrganizationActive
Tall Pines Behavioral Health LLC
NPI 1215519764 · Health Service Psychologist · Wausau, WI
Provider details
- NPI number
- 1215519764
- Entity type
- Organization
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dakota Kaiser, Managing Partner(715) 301-0267
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
100 N 72nd Ave
Wausau, WI 54401-9042
Phone: (715) 301-0267
Approximate (ZIP-level) locationGet directions
Mailing address
100 N 72nd Ave
Wausau, WI 54401-9042
Registry dates
- Enumerated
- 2021-04-24
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.