Ayesha Maria, | |
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | |
(414) 540-2170 | |
Not Available |
Full Name | Ayesha Maria |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3900 W Brown Deer Rd Ste 200, Brown Deer, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356813042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 668-228 (Wisconsin) | Primary |
Entity Name | Shorehaven Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380 |
Mailing Address | Practice Location Address |
---|---|
Ayesha Maria, 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170 | Ayesha Maria, 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170 |
Ms. Renelle E. Nelson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5600 W Brown Deer Rd, Suite 216, Brown Deer, WI 53223 Phone: 414-355-5594 Fax: 414-751-5166 | |
Audra Heiking, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 | |
Eleena Hardzinski, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 | |
Stephanie Kuehn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-7120 Fax: 414-540-2171 | |
Ms. Pam A Cass, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171 | |
Payton Lett, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170 |