| Alliance Counseling Center Llc | |
|
300 Cottonwood Ave Ste 4 Hartland WI 53029-2043 | |
| (262) 896-0905 | |
| (262) 781-6603 |
| Full Name | Alliance Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 Cottonwood Ave Ste 4, Hartland, Wisconsin |
| Authorized Official Name and Position | Gerald D Flanagan (OWNER, ADMINISTRATOR, COUNSELOR) |
| Authorized Official Contact | 2628960905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Counseling Center Llc 18705 Brookridge Dr Brookfield WI 53045-1029 Ph: (262) 896-0905 | Alliance Counseling Center Llc 300 Cottonwood Ave Ste 4 Hartland WI 53029-2043 Ph: (262) 896-0905 |
| NPI Number | 1164647988 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164647988 | NPI | - | NPPES |
| 42248600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2134 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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