| Brotoloc | |
|
3917 47th Ave Kenosha WI 53144-1956 | |
| (262) 656-9975 | |
| (262) 656-9974 |
| Full Name | Brotoloc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3917 47th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Melanie Barbeaux-stinson (DIRECTOR) |
| Authorized Official Contact | 2626569975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brotoloc 3917 47th Ave Kenosha WI 53144-1956 Ph: (262) 656-9975 | Brotoloc 3917 47th Ave Kenosha WI 53144-1956 Ph: (262) 656-9975 |
| NPI Number | 1629111943 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629111943 | NPI | - | NPPES |
| 42242400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2605 (Wisconsin) | Primary |
Calming Waves Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 35th St, Kenosha, WI 53140 Phone: 815-904-0185 | |
Neuropsychological Consultants Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5017 Green Bay Rd Ste 130, Kenosha, WI 53144 Phone: 262-671-1334 | |
Clearview Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10900 67th St, Kenosha, WI 53142 Phone: 262-914-7422 | |
Kenosha County Department Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Sheridan Road, Suite 100, Kenosha, WI 53143 Phone: 262-605-6524 Fax: 262-697-4655 | |
Journey House International Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8032 22nd Ave # 5151, Kenosha, WI 53143 Phone: 262-289-4378 Fax: 262-288-4353 | |
Be Insightful Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2901 35th St Lowr Suiteb, Kenosha, WI 53140 Phone: 262-764-2459 | |
Kenosha County Department Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Sheridan Road, Suite 100, Kenosha, WI 53143 Phone: 262-605-6524 Fax: 262-697-4655 |