Sandra Henke, | |
11518 N Port Washington Rd Ste 202, Mequon, WI 53092-3443 | |
(262) 244-6177 | |
Not Available |
Full Name | Sandra Henke |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 11518 N Port Washington Rd Ste 202, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447803465 | NPI | - | NPPES |
100091146 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5713-125 (Wisconsin) | Primary |
Entity Name | Cornerstone Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
Mailing Address | Practice Location Address |
---|---|
Sandra Henke, 1035 W Glen Oaks Ln Ste 110, Mequon, WI 53092-3392 Ph: () - | Sandra Henke, 11518 N Port Washington Rd Ste 202, Mequon, WI 53092-3443 Ph: (262) 244-6177 |
Lauren Griffith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11518 N Port Washington Rd Ste 202, Mequon, WI 53092 Phone: 262-244-6177 | |
Alyssa Nicole Eckman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1655 W Mequon Rd, Mequon, WI 53092 Phone: 414-292-4242 Fax: 262-240-9745 | |
Gary M Gallitz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10500 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-0427 Fax: 262-240-0429 | |
Dawn Cataldo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14135 N Cedarburg Rd Ste 205, Mequon, WI 53097 Phone: 414-662-4149 | |
Mr. Jason Stuart Kantrowitz, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10042 N. Brookdale Dr., Mequon, WI 53092 Phone: 414-534-2979 Fax: 262-292-8184 | |
Rachel Gerber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11431 N Port Washington Rd Ste 207, Mequon, WI 53092 Phone: 262-668-7864 | |
Mr. Corey F Garber, LPC, SAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 10532 N. Port Washington Rd., Suite 1b, Mequon, WI 53092 Phone: 262-242-3810 Fax: 262-242-3816 |