| Cambridge Counseling Clinic Inc | |
|
120 East Main St Cambridge WI 53523-0548 | |
| (608) 423-4700 | |
| (608) 423-7751 |
| Full Name | Cambridge Counseling Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 East Main St, Cambridge, Wisconsin |
| Authorized Official Name and Position | Deborah C Sullivan (CLINIC DIRECTOR) |
| Authorized Official Contact | 6084234700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Counseling Clinic Inc Po Box 548 Cambridge WI 53523-0548 Ph: (608) 423-4700 | Cambridge Counseling Clinic Inc 120 East Main St Cambridge WI 53523-0548 Ph: (608) 423-4700 |
| NPI Number | 1841374691 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 11/04/2009 |
| Medicare PECOS PAC ID | 9234185661 |
|---|---|
| Medicare Enrollment ID | O20050329000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841374691 | NPI | - | NPPES |
| 42142900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1122 (Wisconsin) | Primary |
| Provider Name | Jacqueline M Schuh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568546315 PECOS PAC ID: 8921054354 Enrollment ID: I20050331000472 |
| Provider Name | Deborah C Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629097902 PECOS PAC ID: 3476509803 Enrollment ID: I20050331000494 |
Beloved Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 414 W Main St, Cambridge, WI 53523 Phone: 608-616-5085 |