Melissa Shi, LMFT NO 1376-124 | |
4811 S 76th St # 305, Greenfield, WI 53220-4364 | |
(414) 325-7741 | |
Not Available |
Full Name | Melissa Shi |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4811 S 76th St # 305, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962061218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1376-124 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 689-228 (Wisconsin) | Secondary |
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 |
---|---|
Melissa Shi, LMFT NO 1376-124 4811 S 76th St # 305, Greenfield, WI 53220-4364 Ph: (414) 325-7741 | Melissa Shi, LMFT NO 1376-124 4811 S 76th St # 305, Greenfield, WI 53220-4364 Ph: (414) 325-7741 |
Paul E. Krepel, LCSW LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4811 S 76th St Ste 305, Greenfield, WI 53220 Phone: 414-325-7741 Fax: 414-325-7753 | |
Caryn Bub-standal, LCSW, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4811 S. 76th St., Ste. 401, Greenfield, WI 53220 Phone: 414-325-7741 Fax: 414-325-7753 |