| Culturally Diverse Counseling Center Llc | |
|
2323 S 109th St Ste 120 West Allis WI 53227-1909 | |
| (414) 510-5700 | |
| Not Available |
| Full Name | Culturally Diverse Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 2323 S 109th St Ste 120, West Allis, Wisconsin |
| Authorized Official Name and Position | Danielle Armstead (OWNER) |
| Authorized Official Contact | 4145105700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Culturally Diverse Counseling Center Llc 2323 S 109th St Ste 120 West Allis WI 53227-1909 Ph: (414) 510-5700 | Culturally Diverse Counseling Center Llc 2323 S 109th St Ste 120 West Allis WI 53227-1909 Ph: (414) 510-5700 |
| NPI Number | 1649989930 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 4284077728 |
|---|---|
| Medicare Enrollment ID | O20240212002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649989930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle Armstead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952924342 PECOS PAC ID: 5193168631 Enrollment ID: I20240212002327 |
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