| Enso Counseling Llc | |
|
750 Bowling Ln Waupaca WI 54981-7707 | |
| (715) 201-2758 | |
| (715) 204-7151 |
| Full Name | Enso Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 750 Bowling Ln, Waupaca, Wisconsin |
| Authorized Official Name and Position | Elissa Leonora Stults (OWNER) |
| Authorized Official Contact | 7152012758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Counseling Llc 604 E Lake St Waupaca WI 54981-1849 Ph: (608) 228-9552 | Enso Counseling Llc 750 Bowling Ln Waupaca WI 54981-7707 Ph: (715) 201-2758 |
| NPI Number | 1104670918 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104670918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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Waupaca County Dept Of Human Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6300 Fax: 715-258-6409 |