| Affirmed Family Psychotherapy Llc | |
|
2961 Yarmouth Greenway Dr Ste 2 Fitchburg WI 53711-5809 | |
| (608) 628-0834 | |
| (608) 442-5558 |
| Full Name | Affirmed Family Psychotherapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 2961 Yarmouth Greenway Dr Ste 2, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Barbara A Perkins (MEMBER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6086280834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirmed Family Psychotherapy Llc 442 Toepfer Ave C/o Barb Perkins Madison WI 53711-1660 Ph: (608) 628-0834 | Affirmed Family Psychotherapy Llc 2961 Yarmouth Greenway Dr Ste 2 Fitchburg WI 53711-5809 Ph: (608) 628-0834 |
| NPI Number | 1114631926 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 04/12/2021 |
| Medicare PECOS PAC ID | 7719359207 |
|---|---|
| Medicare Enrollment ID | O20230209001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114631926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Barbara A Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447681366 PECOS PAC ID: 1759500143 Enrollment ID: I20140917001184 |
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