Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Skills Support Center of Eau Claire, Ltd

Organization Psychiatry Physician · NPI 1124225503

Life Skills Support Center of Eau Claire, Ltd provides Psychiatry Physician services 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 Not confirmed with CMS for 19 years — call before visiting
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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