| Catholic Charities Of The Archdiocese Of Milwaukee Inc | |
|
800 Wisconsin Ave Racine WI 53403-1526 | |
| (262) 637-8888 | |
| (262) 637-0695 |
| Full Name | Catholic Charities Of The Archdiocese Of Milwaukee Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 800 Wisconsin Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Julie Bush (BILLING MANAGER) |
| Authorized Official Contact | 2626378888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Milwaukee Inc 800 Wisconsin Ave Racine WI 53403-1526 Ph: (262) 637-8888 | Catholic Charities Of The Archdiocese Of Milwaukee Inc 800 Wisconsin Ave Racine WI 53403-1526 Ph: (262) 637-8888 |
| NPI Number | 1619950011 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619950011 | NPI | - | NPPES |
| 42121700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1135 (Wisconsin) | Primary |
Dynamic Potential Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 5th St Ste 2, Racine, WI 53403 Phone: 262-308-8085 | |
Aneu Beginning Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Monarch Dr, Racine, WI 53406 Phone: 262-497-3445 | |
Wellnesshoppe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Memorial Dr, Racine, WI 53404 Phone: 262-504-0241 | |
Krave Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Charles St, Racine, WI 53402 Phone: 262-744-9510 | |
Christian Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Taylor Avenue, Racine, WI 53403 Phone: 800-438-1772 Fax: 262-293-9737 | |
Mwa Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Taylor Ave, Racine, WI 53405 Phone: 262-554-1400 | |
Professional Services Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Goold St, Racine, WI 53402 Phone: 262-638-2000 Fax: 262-638-2006 |