| Cope Behavioral Services, Inc. | |
|
2821 N 4th St Suite # 121 Milwaukee WI 53212-2362 | |
| (414) 265-5112 | |
| (414) 265-4140 |
| Full Name | Cope Behavioral Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2821 N 4th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | David A. Guyton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4142655087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Behavioral Services, Inc. 2821 N 4th St Suite # 121 Milwaukee WI 53212-2362 Ph: (414) 265-5112 | Cope Behavioral Services, Inc. 2821 N 4th St Suite # 121 Milwaukee WI 53212-2362 Ph: (414) 265-5112 |
| NPI Number | 1831234012 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831234012 | NPI | - | NPPES |
| 42240800 | Medicaid | WI | |
| 40997400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2587 (Wisconsin) | Primary |
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