| Corazon Counseling And Wellness | |
|
110 N Main St Poynette WI 53955-9329 | |
| (608) 604-8609 | |
| Not Available |
| Full Name | Corazon Counseling And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 110 N Main St, Poynette, Wisconsin |
| Authorized Official Name and Position | Brook Landeo (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6086048609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corazon Counseling And Wellness 110 N Main St Poynette WI 53955-9329 Ph: (608) 604-8609 | Corazon Counseling And Wellness 110 N Main St Poynette WI 53955-9329 Ph: (608) 604-8609 |
| NPI Number | 1386401883 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 2769823848 |
|---|---|
| Medicare Enrollment ID | O20240508000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386401883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brook Landeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730780511 PECOS PAC ID: 2769894609 Enrollment ID: I20201217000056 |
Poynette Counseling & Psychotherapy Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 N Main St Ste 3, Poynette, WI 53955 Phone: 608-635-2146 Fax: 608-635-7379 | |
Haag Mental Health Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 N Main St, Suite 3, Poynette, WI 53955 Phone: 605-635-2146 |