| Balanced Recovery Counseling And Consultation Llc | |
|
532 E Saint Joseph St Green Bay WI 54301-2246 | |
| (534) 429-1630 | |
| Not Available |
| Full Name | Balanced Recovery Counseling And Consultation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 532 E Saint Joseph St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Morgan L Phillips (OWNER) |
| Authorized Official Contact | 9207132922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Recovery Counseling And Consultation Llc 2809 E Hamilton Ave # 4029 Eau Claire WI 54701-6863 Ph: (534) 429-1630 | Balanced Recovery Counseling And Consultation Llc 532 E Saint Joseph St Green Bay WI 54301-2246 Ph: (534) 429-1630 |
| NPI Number | 1477251312 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477251312 | NPI | - | NPPES |
| 1538400445 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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