| Creative Counseling Of Milwaukee | |
|
2266 E Prospect Ave Suite 304 Milwaukee WI 53202 | |
| (414) 405-0670 | |
| Not Available |
| Full Name | Creative Counseling Of Milwaukee |
|---|---|
| Speciality | Counselor |
| Location | 2266 E Prospect Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Craig Stone (PARTNER) |
| Authorized Official Contact | 4144050670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Of Milwaukee 2022 E Edgewood Ave Shorewood WI 53211-2935 Ph: () - | Creative Counseling Of Milwaukee 2266 E Prospect Ave Suite 304 Milwaukee WI 53202 Ph: (414) 405-0670 |
| NPI Number | 1346747169 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 7012450976 |
|---|---|
| Medicare Enrollment ID | O20240619002412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346747169 | NPI | - | NPPES |
| 1619388451 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5853-125 (Wisconsin) | Primary |
| Provider Name | Craig Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619388451 PECOS PAC ID: 8921541889 Enrollment ID: I20240619002470 |
| Provider Name | Sarah Rosenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376799452 PECOS PAC ID: 9335687730 Enrollment ID: I20240816000953 |
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