| Family Counseling Center, Llc | |
|
8112 W Bluemound Rd Suite 106 Wauwatosa WI 53213-3356 | |
| (414) 258-5523 | |
| (414) 431-1071 |
| Full Name | Family Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8112 W Bluemound Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Mary Ziemer Nervig (OWNER) |
| Authorized Official Contact | 4142585523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Center, Llc 8112 W Bluemound Rd Suite 106 Wauwatosa WI 53213-3356 Ph: (414) 258-5523 | Family Counseling Center, Llc 8112 W Bluemound Rd Suite 106 Wauwatosa WI 53213-3356 Ph: (414) 258-5523 |
| NPI Number | 1306095823 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306095823 | NPI | - | NPPES |
| 42193700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 475-123 (Wisconsin) | Primary |
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