| Bay Counseling Clinic, Llp | |
|
50 S Madison Ave Suite 3 Sturgeon Bay WI 54235-2742 | |
| (920) 743-4428 | |
| (920) 743-4681 |
| Full Name | Bay Counseling Clinic, Llp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 50 S Madison Ave, Sturgeon Bay, Wisconsin |
| Authorized Official Name and Position | Jeanna J Grahl (PARTNER/LPC) |
| Authorized Official Contact | 9207436522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Counseling Clinic, Llp Po Box 321 Sturgeon Bay WI 54235-0321 Ph: (920) 743-4428 | Bay Counseling Clinic, Llp 50 S Madison Ave Suite 3 Sturgeon Bay WI 54235-2742 Ph: (920) 743-4428 |
| NPI Number | 1841429073 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Medicare PECOS PAC ID | 2163678798 |
|---|---|
| Medicare Enrollment ID | O20120814000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841429073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2871 (Wisconsin) | Primary |
| Provider Name | Ann L Athorp-krech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639145394 PECOS PAC ID: 6204894835 Enrollment ID: I20041229000078 |
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