| Colleen Michelle Gromowski, MS,LMFT | |
|
130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | |
| (920) 437-8256 | |
| (920) 437-1188 |
| Full Name | Colleen Michelle Gromowski |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 130 E Walnut St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952475204 | NPI | - | NPPES |
| 43578800 | Medicaid | WI | |
| 1952475204 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 618-124 (Wisconsin) | Primary |
| Entity Name | Nystrom & Associates Counseling Wi Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Michelle Gromowski, MS,LMFT 201 Main St Ste 500, La Crosse, WI 54601-0716 Ph: (608) 668-4005 | Colleen Michelle Gromowski, MS,LMFT 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 Ph: (920) 437-8256 |
Megan Lynn Meyerhofer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1263 Main St Ste 122, Green Bay, WI 54302 Phone: 920-315-8643 Fax: 920-214-1274 | |
Elizabeth Dionne Maes, LPC Couples Therapy Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 Fax: 920-431-0333 | |
Linda Ann Schwallie, RN LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Pilgrim Way, Green Bay, WI 54304 Phone: 920-496-4700 Fax: 920-496-4705 | |
Tara Foytik, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 926 Willard Dr Ste 136, Green Bay, WI 54304 Phone: 920-659-5660 | |
Robert P Johnson, CICSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 706, Green Bay, WI 54301 Phone: 920-437-8256 Fax: 920-437-1188 | |
Samantha F Ritchie, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 926 Willard Dr Ste 136, Green Bay, WI 54304 Phone: 920-461-5820 Fax: 888-443-6342 | |
Cheryl K Rotherham, M.S., L.C.S.W. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 840 Willard Dr, Suite 102, Green Bay, WI 54304 Phone: 920-497-0788 Fax: 920-497-0792 |