Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Skills Support Center of Eau Claire, Ltd

Organization Psychiatry Physician · NPI 1124225503

Life Skills Support Center of Eau Claire, Ltd is a Psychiatry Physician in Eau Claire, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4907 Keystone Xing
Eau Claire, WI 54701-5144
Phone: (505) 730-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1124225503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nino Vidic — Owner · (505) 730-2947
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 18, 2007
Mailing address4907 Keystone Xing, Eau Claire, WI 54701-5144

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