| Couch Counseling Center, Llc | |
|
806 Valley Rd Ste 13 Menasha WI 54952-1012 | |
| (920) 872-7292 | |
| (920) 872-7066 |
| Full Name | Couch Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 806 Valley Rd Ste 13, Menasha, Wisconsin |
| Authorized Official Name and Position | Derreka J Walton (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9208727292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Couch Counseling Center, Llc 806 Valley Rd Ste 13 Menasha WI 54952-1012 Ph: (920) 872-7292 | Couch Counseling Center, Llc 806 Valley Rd Ste 13 Menasha WI 54952-1012 Ph: (920) 872-7292 |
| NPI Number | 1467025965 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467025965 | NPI | - | NPPES |
| 1104418318 | Other | WI | PRIVATE INSURANCE |
| 1104418318 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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