Meghan L Ludowissi, MS, LPC, CSAC | |
N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188-1140 | |
(414) 667-5809 | |
(262) 393-2462 |
Full Name | Meghan L Ludowissi |
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Gender | Female |
Speciality | Counselor - Professional |
Location | N14w23777 Stone Ridge Dr Ste 290, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730597386 | NPI | - | NPPES |
173597386 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6116-125 (Wisconsin) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16402-132 (Wisconsin) | Secondary |
Entity Name | Empyrean Ventures, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801637228 PECOS PAC ID: 9537600382 Enrollment ID: O20240919001772 |
Mailing Address | Practice Location Address |
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Meghan L Ludowissi, MS, LPC, CSAC N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188-1140 Ph: (414) 667-5809 | Meghan L Ludowissi, MS, LPC, CSAC N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188-1140 Ph: (414) 667-5809 |
Stephanie Pattengale, LPC Counselor Medicare: Medicare Enrolled Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 | |
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567 | |
Brittany Witty, LPC Counselor Medicare: Medicare Enrolled Practice Location: 741 N Grand Ave Ste 302, Waukesha, WI 53186 Phone: 262-789-1191 | |
Rachel A Feller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-893-5317 | |
Jenna Marie Jackson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7666 | |
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139 | |
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199 |