| Atin Counseling Services Llc | |
|
853 Taft Ter Hartford WI 53027-9287 | |
| (414) 600-1188 | |
| (414) 453-4253 |
| Full Name | Atin Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 853 Taft Ter, Hartford, Wisconsin |
| Authorized Official Name and Position | Sharon Medina (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4146001188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atin Counseling Services Llc 6815 W Capitol Dr Suite 201 Milwaukee WI 53216-2070 Ph: (414) 600-1188 | Atin Counseling Services Llc 853 Taft Ter Hartford WI 53027-9287 Ph: (414) 600-1188 |
| NPI Number | 1821450099 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821450099 | NPI | - | NPPES |
| 1396852919 | Medicaid | WI | |
| 1801069497 | Medicaid | WI | |
| 1376882100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 7059 (Wisconsin) | Primary |
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