Collective Counseling And Consultation, Llc | |
11801 W Silver Spring Dr Ste 107 Milwaukee WI 53225-3092 | |
(414) 367-9155 | |
(414) 600-9080 |
Full Name | Collective Counseling And Consultation, Llc |
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Speciality | Clinic/Center |
Location | 11801 W Silver Spring Dr Ste 107, Milwaukee, Wisconsin |
Authorized Official Name and Position | Vanessa Minor (OWNER) |
Authorized Official Contact | 4143679155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Collective Counseling And Consultation, Llc 11801 W Silver Spring Dr Ste 102 Milwaukee WI 53225-3092 Ph: (414) 367-9155 | Collective Counseling And Consultation, Llc 11801 W Silver Spring Dr Ste 107 Milwaukee WI 53225-3092 Ph: (414) 367-9155 |
NPI Number | 1558022970 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 04/09/2024 |
Certification Date | 04/09/2024 |
Medicare PECOS PAC ID | 4880067792 |
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Medicare Enrollment ID | O20230223001811 |
Identifier | Type | State | Issuer |
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1558022970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Barbara A Bartlein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477668937 PECOS PAC ID: 9931358637 Enrollment ID: I20121011000931 |
Provider Name | Kelly L Kuehl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366740649 PECOS PAC ID: 9335485515 Enrollment ID: I20190109000144 |
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