| Cream City Counseling Llc | |
|
219 W Mount Royal Rd Glendale WI 53217-3907 | |
| (414) 235-7173 | |
| Not Available |
| Full Name | Cream City Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 219 W Mount Royal Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Melissa Dansby (OWNER) |
| Authorized Official Contact | 2629892627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cream City Counseling Llc 4738 N 20th St Milwaukee WI 53209-6345 Ph: (414) 235-7173 | Cream City Counseling Llc 219 W Mount Royal Rd Glendale WI 53217-3907 Ph: (414) 235-7173 |
| NPI Number | 1851142178 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2769823699 |
|---|---|
| Medicare Enrollment ID | O20240509002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851142178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melissa S Dansby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376881581 PECOS PAC ID: 3678914504 Enrollment ID: I20240509002530 |
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