Melinda L Johnson, LPC | |
15954 Rivers Edge Dr, Hayward, WI 54843-7800 | |
(715) 634-2541 | |
(715) 598-4881 |
Full Name | Melinda L Johnson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 15954 Rivers Edge Dr, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205189545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4560-125 (Wisconsin) | Primary |
Entity Name | The Lakes Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
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Melinda L Johnson, LPC 15735 W Us Highway 63, Hayward, WI 54843-6475 Ph: (715) 934-0710 | Melinda L Johnson, LPC 15954 Rivers Edge Dr, Hayward, WI 54843-7800 Ph: (715) 634-2541 |
Beth E Achtor-loder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10592 Main Street, Hayward, WI 54843 Phone: 715-699-6062 | |
Jenny A Ingram, MS,CSAC,IDP-AT,PSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5116 Fax: 715-638-6107 | |
Alexandra Bice, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main St, Hayward, WI 54843 Phone: 715-934-1381 | |
Dr. Lori Leanne Soli, PHD LPCC ACS BCTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 10436 Bay Ave, Hayward, WI 54843 Phone: 858-952-9571 | |
Elizabeth Anne Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main Street #1021, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091 | |
Kevin Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15910 W Company Lake Rd, Hayward, WI 54843 Phone: 715-558-1274 |