Heather H Douglas, MS, CTRS,LPC | |
6502 Grand Teton Plz, Suite 203, Madison, WI 53719-1047 | |
(608) 827-7220 | |
Not Available |
Full Name | Heather H Douglas |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6502 Grand Teton Plz, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265714992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 475-226 (Wisconsin) | Primary |
Entity Name | Open Door Center For Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215068069 PECOS PAC ID: 2860598711 Enrollment ID: O20070509000503 |
Mailing Address | Practice Location Address |
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Heather H Douglas, MS, CTRS,LPC 4410 Mineral Point Rd, Madison, WI 53705-5045 Ph: (608) 358-4977 | Heather H Douglas, MS, CTRS,LPC 6502 Grand Teton Plz, Suite 203, Madison, WI 53719-1047 Ph: (608) 827-7220 |
Maureen T Marshall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6510 Grand Teton Plaza, Ste 406, Madison, WI 53719 Phone: 608-833-9290 Fax: 608-833-9290 | |
Jessica Marie Gutierrez, LCSW, CSAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 2101 Linden Ave Apt 2, Madison, WI 53704 Phone: 608-466-6560 | |
Amanda Henn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 W Washington Ave, Madison, WI 53703 Phone: 608-280-2700 | |
Lance P Armstrong, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Kessel Ct, Ste 200, Madison, WI 53711 Phone: 608-278-8200 Fax: 608-278-8204 | |
Ms. Katherine Mary Delchambre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5310 Wall Street, Ste. 500, Madison, WI 53718 Phone: 608-274-8294 Fax: 608-274-8783 | |
Michael Walmer, M.S., LPC-T/SUD, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 W Washington Ave, Madison, WI 53703 Phone: 608-280-2700 | |
Christina Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 559 Zor Shrine Pl, Madison, WI 53719 Phone: 608-833-0123 |