Cb Therapy Group, Llc | |
187 E Main Street Ellsworth WI 54011 | |
(715) 307-4400 | |
(715) 273-6546 |
Full Name | Cb Therapy Group, Llc |
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Speciality | Social Worker |
Location | 187 E Main Street, Ellsworth, Wisconsin |
Authorized Official Name and Position | Courtney Brunner (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7153074400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cb Therapy Group, Llc 187 E Main Street Ellsworth WI 54011 Ph: (715) 307-4400 | Cb Therapy Group, Llc 187 E Main Street Ellsworth WI 54011 Ph: (715) 307-4400 |
NPI Number | 1942864186 |
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Provider Enumeration Date | 04/23/2019 |
Last Update Date | 05/08/2020 |
Certification Date | 05/08/2020 |
Medicare PECOS PAC ID | 9234462490 |
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Medicare Enrollment ID | O20190604000893 |
Identifier | Type | State | Issuer |
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1942864186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Courtney Ann Brunner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316456148 PECOS PAC ID: 1951667302 Enrollment ID: I20171117001727 |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 West Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Northwest Journey - Ellsworth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6096 530th St, Ellsworth, WI 54011 Phone: 715-273-0203 Fax: 715-273-0344 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
A Brighter Tomorrow Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6088 1000th St, Ellsworth, WI 54011 Phone: 651-491-5745 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 |