Michelle A Hastings, LPC-T | |
902 Riverside Dr, Suite 204, Waupaca, WI 54981-1992 | |
(715) 256-1475 | |
(715) 256-0705 |
Full Name | Michelle A Hastings |
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Gender | Female |
Speciality | Counselor |
Location | 902 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053603696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4924 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
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Michelle A Hastings, LPC-T 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-3700 | Michelle A Hastings, LPC-T 902 Riverside Dr, Suite 204, Waupaca, WI 54981-1992 Ph: (715) 256-1475 |
Kala Blasi, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-942-1894 | |
Deborah Kraemer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 Riverside Dr Ste 204, Waupaca, WI 54981 Phone: 715-256-1475 | |
Mrs. Teresa Lee Taylor, M.E.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Grand Seasons Dr, Waupaca, WI 54981 Phone: 715-258-8459 Fax: 715-258-0878 | |
Mr. Aaron Holt, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N. Main St., Waupaca, WI 54981 Phone: 715-281-7710 Fax: 715-345-0223 | |
Guy S Connor, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6300 | |
Sarah Lee Binder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6414 Fax: 715-258-6409 |