Burchby Counseling Inc | |
40 Jewelers Park Dr Ste 100 Neenah WI 54956-3893 | |
(920) 245-0087 | |
(262) 208-5321 |
Full Name | Burchby Counseling Inc |
---|---|
Speciality | Community/Behavioral Health |
Location | 40 Jewelers Park Dr Ste 100, Neenah, Wisconsin |
Authorized Official Name and Position | Danel Burchby (LCSW) |
Authorized Official Contact | 9202450087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Burchby Counseling Inc N9171 Christopher Ln Appleton WI 54915-7089 Ph: (920) 245-0087 | Burchby Counseling Inc 40 Jewelers Park Dr Ste 100 Neenah WI 54956-3893 Ph: (920) 245-0087 |
NPI Number | 1487368908 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 01/09/2023 |
Certification Date | 01/09/2023 |
Medicare PECOS PAC ID | 4981075876 |
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Medicare Enrollment ID | O20230201001929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487368908 | NPI | - | NPPES |
100165489 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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