Rebecca A Richards, LPC | |
816 Washington St, Manitowoc, WI 54220-4537 | |
(920) 645-3743 | |
Not Available |
Full Name | Rebecca A Richards |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 816 Washington St, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225531353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 6845 (Wisconsin) | Primary |
Entity Name | Summit Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417605551 PECOS PAC ID: 4486095486 Enrollment ID: O20240508001756 |
Mailing Address | Practice Location Address |
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Rebecca A Richards, LPC 948 N 5th St, Manitowoc, WI 54220-3339 Ph: (262) 719-5177 | Rebecca A Richards, LPC 816 Washington St, Manitowoc, WI 54220-4537 Ph: (920) 645-3743 |
Lana L. Roever, M.S., S.A.C.I.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S. 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908 | |
Mrs. Corrin Laurene Applekamp, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 | |
Courtney Balthazor, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 Fax: 920-215-4918 | |
Kirstin Duprey, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 | |
Nicole Bonin, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 816 Washington St, Manitowoc, WI 54220 Phone: 920-645-3743 | |
Austin David Lucas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 926 South 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908 | |
Mrs. Paulette Marie Sears, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 East Waldo Blvd, Manitowoc, WI 54220 Phone: 920-682-6087 Fax: 920-682-6087 |