|
| |
|
503 Wisconsin Avenue Sheboygan WI 53081-4196 | |
| (920) 458-5726 | |
| (920) 458-5826 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 503 Wisconsin Avenue, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Gary D Howley (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4147693416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
503 Wisconsin Ave Sheboygan WI 53081-4196 Ph: (920) 458-5727 | 503 Wisconsin Avenue Sheboygan WI 53081-4196 Ph: (920) 458-5726 |
| NPI Number | 1346224060 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346224060 | NPI | - | NPPES |
| 44013200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1133 (Wisconsin) | Primary |
Dr Thomas J Zweifel Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N 25th St, Sheboygan, WI 53081 Phone: 920-457-3737 Fax: 920-457-1012 | |
Nett Work Family Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2801 Calumet Dr, Sheboygan, WI 53083 Phone: 920-451-6908 Fax: 920-458-6439 | |
Aurora Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2307 S. Business Drive, Sheboygan, WI 53082 Phone: 920-459-1134 | |
Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N 5th St, Sheboygan, WI 53081 Phone: 920-457-4090 |