| Breaking Boulders Counseling Llc | |
|
W1302 N Dam Rd Hardwood MI 49834-9218 | |
| (414) 617-9362 | |
| Not Available |
| Full Name | Breaking Boulders Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W1302 N Dam Rd, Hardwood, Michigan |
| Authorized Official Name and Position | Aunastasia Zsidiewicz (MENTAL HEALTH THERAPIST/OWNER) |
| Authorized Official Contact | 4146179362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Boulders Counseling Llc Po Box 174 Felch MI 49831-0174 Ph: (414) 617-9362 | Breaking Boulders Counseling Llc W1302 N Dam Rd Hardwood MI 49834-9218 Ph: (414) 617-9362 |
| NPI Number | 1093405805 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093405805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |