Amanda Donath, LPC | |
712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 | |
(262) 226-2006 | |
(262) 226-2462 |
Full Name | Amanda Donath |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 712 Summit Ave Ste 714, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043611205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5382-125 (Wisconsin) | Primary |
Entity Name | Amanda Donath Psychological Services S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356961775 PECOS PAC ID: 6406248822 Enrollment ID: O20220116000005 |
Mailing Address | Practice Location Address |
---|---|
Amanda Donath, LPC 712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 Ph: (262) 226-2006 | Amanda Donath, LPC 712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 Ph: (262) 226-2006 |
Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759 | |
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451 | |
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191 | |
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515 | |
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 | |
Ms. Debra A Adamus, CLINICAL SUBSTANCE A Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 Fax: 262-354-0794 |