| Cedar Lake Counseling, Sc | |
|
1035 W Glen Oaks Ln Ste 110 Mequon WI 53092-3392 | |
| (262) 244-6178 | |
| (262) 299-3040 |
| Full Name | Cedar Lake Counseling, Sc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1035 W Glen Oaks Ln Ste 110, Mequon, Wisconsin |
| Authorized Official Name and Position | Solvita Borg (MANAGER/ADMIN) |
| Authorized Official Contact | 2622446178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Lake Counseling, Sc 1035 W Glen Oaks Ln Ste 110 Mequon WI 53092-3392 Ph: (262) 244-6178 | Cedar Lake Counseling, Sc 1035 W Glen Oaks Ln Ste 110 Mequon WI 53092-3392 Ph: (262) 244-6178 |
| NPI Number | 1255790630 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255790630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Newport Professionals Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, G30, Mequon, WI 53092 Phone: 262-241-8100 Fax: 262-241-8200 | |
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