Am Counseling | |
1126 S 70th St Suite 121 West Allis WI 53214 | |
(414) 409-3546 | |
Not Available |
Full Name | Am Counseling |
---|---|
Speciality | Community/Behavioral Health |
Location | 1126 S 70th St Suite 121, West Allis, Wisconsin |
Authorized Official Name and Position | Alice Mackey (OWNER/PROVIDER) |
Authorized Official Contact | 4144093546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Am Counseling 2354 N 59th St Milwaukee WI 53210 Ph: (207) 522-1219 | Am Counseling 1126 S 70th St Suite 121 West Allis WI 53214 Ph: (414) 409-3546 |
NPI Number | 1528586138 |
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Provider Enumeration Date | 09/04/2017 |
Last Update Date | 11/01/2017 |
Medicare PECOS PAC ID | 1254697014 |
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Medicare Enrollment ID | O20171110000308 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528586138 | NPI | - | NPPES |
39732700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Alice A Mackey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467514828 PECOS PAC ID: 9830490028 Enrollment ID: I20171110000347 |
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