| Avenues Counseling, Llc | |
|
1118 15th Ave Monroe WI 53566-2042 | |
| (608) 325-1070 | |
| (608) 325-1070 |
| Full Name | Avenues Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1118 15th Ave, Monroe, Wisconsin |
| Authorized Official Name and Position | Megan Schilt (OWNER) |
| Authorized Official Contact | 6082931155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenues Counseling, Llc 1118 15th Ave Monroe WI 53566-2042 Ph: (608) 325-1070 | Avenues Counseling, Llc 1118 15th Ave Monroe WI 53566-2042 Ph: (608) 325-1070 |
| NPI Number | 1205377801 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 1456681675 |
|---|---|
| Medicare Enrollment ID | O20191001000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205377801 | NPI | - | NPPES |
| 100033677 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5855-125 (Wisconsin) | Primary |
| Provider Name | Dotty Mockenhaupt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073399010 PECOS PAC ID: 8820438591 Enrollment ID: I20240429000665 |
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