Provider Demographics
NPI:1861737041
Name:DECISIONPOINT BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:DECISIONPOINT BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP, ABPP
Authorized Official - Phone:507-261-7080
Mailing Address - Street 1:206 S BROADWAY
Mailing Address - Street 2:SUITE 411A
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6502
Mailing Address - Country:US
Mailing Address - Phone:507-261-7080
Mailing Address - Fax:507-424-4432
Practice Address - Street 1:206 S BROADWAY
Practice Address - Street 2:SUITE 411A
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6502
Practice Address - Country:US
Practice Address - Phone:507-261-7080
Practice Address - Fax:507-424-4432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5520103TC2200X
MNLP1315103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty