| Deberry Consultant Services And Behavioral Health | |
|
6815 W Capitol Dr Suite 118 Milwaukee WI 53216-2070 | |
| (414) 416-1032 | |
| (855) 799-5917 |
| Full Name | Deberry Consultant Services And Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6815 W Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Barbara L. Deberry (OWNER/OPERATOR) |
| Authorized Official Contact | 4144161032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deberry Consultant Services And Behavioral Health 6815 W Capitol Dr Suite 118 Milwaukee WI 53216-2070 Ph: (414) 416-1032 | Deberry Consultant Services And Behavioral Health 6815 W Capitol Dr Suite 118 Milwaukee WI 53216-2070 Ph: (414) 416-1032 |
| NPI Number | 1528316775 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528316775 | NPI | - | NPPES |
| 100013723 | Medicaid | WI | |
| 104100000X | Other | WI | CERTIFIED PSYCHOTHERAPIST TAXONOMY NUMBER |
| WI2885 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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