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

Organization Addiction (Substance Use Disorder) Counselor · NPI 1346620952

Premier Care of Wisconsin, LLC is an Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 W Scott St
Fond Du Lac, WI 54935-2342
Phone: (920) 926-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 3075 (WI)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1346620952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Gaither — Vp Revenue Cycle Mgmt · (602) 248-8886
Other names Cms Fond Du Lac
NPI enumeratedJune 9, 2015
Last updated in NPPESFebruary 10, 2024
Certification dateFebruary 10, 2024
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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