Sarah Michelle Chase, | |
10411 Corporate Dr Ste 110, Pleasant Prairie, WI 53158-1619 | |
(262) 496-1202 | |
Not Available |
Full Name | Sarah Michelle Chase |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 10411 Corporate Dr Ste 110, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023688777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8233125 (Wisconsin) | Primary |
Entity Name | Guided Wellness Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093182941 PECOS PAC ID: 5395098735 Enrollment ID: O20181031003167 |
Mailing Address | Practice Location Address |
---|---|
Sarah Michelle Chase, 8815 34th Ave, Kenosha, WI 53142-2535 Ph: (262) 496-1202 | Sarah Michelle Chase, 10411 Corporate Dr Ste 110, Pleasant Prairie, WI 53158-1619 Ph: (262) 496-1202 |
Dr. Richard Earl Averbeck, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7941 112th Ave, Pleasant Prairie, WI 53158 Phone: 262-697-1877 | |
Miss Jessica M Key, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9130 83rd St Apt 133, Pleasant Prairie, WI 53158 Phone: 262-327-7452 | |
Joel De Witt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4225 101st St Unit 580302, Pleasant Prairie, WI 53158 Phone: 262-320-7740 | |
Jill Plaisted, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 Phone: 262-287-4428 | |
Kiryl N Shada, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 Fax: 262-857-5001 |