Maria E Guardiola, LPC | |
7071 S 13th St Ste 102, Oak Creek, WI 53154-1466 | |
(414) 616-3000 | |
(414) 616-3220 |
Full Name | Maria E Guardiola |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 7071 S 13th St Ste 102, Oak Creek, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447672845 | NPI | - | NPPES |
1447672845 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2024-226 (Wisconsin) | Primary |
Entity Name | Sixteenth Street Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352 |
Mailing Address | Practice Location Address |
---|---|
Maria E Guardiola, LPC 7071 S 13th St Ste 102, Oak Creek, WI 53154-1466 Ph: (414) 616-3000 | Maria E Guardiola, LPC 7071 S 13th St Ste 102, Oak Creek, WI 53154-1466 Ph: (414) 616-3000 |
Amanda Volbrecht, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6419 S Howell Ave, Oak Creek, WI 53154 Phone: 414-810-4844 | |
Ashley Sharpe, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 202, Oak Creek, WI 53154 Phone: 262-251-1112 | |
Mark T Machak, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 103, Oak Creek, WI 53154 Phone: 262-334-4340 Fax: 262-334-4341 | |
Laelle Lanier, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 202, Oak Creek, WI 53154 Phone: 262-251-1112 | |
Kevin Wahl, Counselor Medicare: Medicare Enrolled Practice Location: 1021 E Fitzsimmons Rd, Oak Creek, WI 53154 Phone: 414-975-2843 | |
Mrs. Abbey Dawn Kurtz, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8825 S Howell Ave Ste 200, Oak Creek, WI 53154 Phone: 414-215-7554 | |
Daniel Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Parkway Estates Dr, Oak Creek, WI 53154 Phone: 414-544-2553 |