| Four Winds Counseling Llc | |
|
437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 | |
| (608) 516-1734 | |
| Not Available |
| Full Name | Four Winds Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 437 S Yellowstone Dr Ste 219, Madison, Wisconsin |
| Authorized Official Name and Position | Sue Moran (DIRECTOR) |
| Authorized Official Contact | 6085161734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Winds Counseling Llc 437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 Ph: (608) 516-1734 | Four Winds Counseling Llc 437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 Ph: (608) 516-1734 |
| NPI Number | 1649958091 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 1850747270 |
|---|---|
| Medicare Enrollment ID | O20231020002806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649958091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Judith C Parkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962626473 PECOS PAC ID: 0547496671 Enrollment ID: I20131120001422 |
| Provider Name | Suzanne Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528115805 PECOS PAC ID: 5496101826 Enrollment ID: I20240116002696 |
| Provider Name | Jolin Mitchel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982236741 PECOS PAC ID: 2163861774 Enrollment ID: I20240416001415 |
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