Mrs Elizabeth Jane Grant, MS | |
1971 Washington St, Suite 200, Grafton, WI 53024-2122 | |
(262) 377-6276 | |
(262) 377-6289 |
Full Name | Mrs Elizabeth Jane Grant |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1971 Washington St, Grafton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891231999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18021-130 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 3218-226 (Wisconsin) | Primary |
Entity Name | Trilogy Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760233266 PECOS PAC ID: 6608214325 Enrollment ID: O20240401001663 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Jane Grant, MS 408 W Florida St, Apt 716, Milwaukee, WI 53204-1509 Ph: (847) 530-0406 | Mrs Elizabeth Jane Grant, MS 1971 Washington St, Suite 200, Grafton, WI 53024-2122 Ph: (262) 377-6276 |
Joseph M Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Wisconsin Ave, Grafton, WI 53024 Phone: 262-377-3712 Fax: 262-376-9416 | |
Ms. Tami Feld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Falls Rd Ste 210, Grafton, WI 53024 Phone: 262-233-1818 | |
Samantha Lynn Schommer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Cheyenne Ave Ste 200, Grafton, WI 53024 Phone: 262-689-9594 Fax: 262-421-8681 | |
Autumn Horn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1312 Wisconsin Ave Apt 201, Grafton, WI 53024 Phone: 920-627-1533 | |
Cassandra Lyn Reilly, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1245 Cheyenne Ave Ste 200, Grafton, WI 53024 Phone: 262-233-1818 Fax: 262-421-8681 | |
Natalie Brey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1990 Wisconsin Ave, Grafton, WI 53024 Phone: 262-421-7121 | |
Alexandra Fritz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Cheyenne Ave Ste 200, Grafton, WI 53024 Phone: 262-233-1818 Fax: 262-421-8681 |