Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Life Skills Support Center of Eau Claire, Ltd.

Psychiatry Physician in Eau Claire, WI · enumerated 2007 · authorized official Nino Vidic, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124225503

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Registry record

Entity type Organization (Type 2)

Legal business name Life Skills Support Center of Eau Claire, Ltd.

Practice address 4907 Keystone Xing, Eau Claire, WI, 54701

Phone (505) 730-2947

Enumeration date Jun 29, 2007

Last updated in NPPES Jul 18, 2007

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Nino Vidic

Title Owner

Phone (505) 730-2947

Other identifiers

Identifier	Type	State	Issuer
50281-020	Other	WI	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-07-18. Verify at npiregistry.cms.hhs.gov.

Where is Life Skills Support Center of Eau Claire, Ltd. located?

The practice location on file with NPPES is in Eau Claire, WI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-18.