Guided Wellness Counseling | |
6032 40th Ave Kenosha WI 53142-7018 | |
(262) 287-1999 | |
Not Available |
Full Name | Guided Wellness Counseling |
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Speciality | Community/Behavioral Health |
Location | 6032 40th Ave, Kenosha, Wisconsin |
Authorized Official Name and Position | Lindsey Hatcher (OPERATIONS MANAGER) |
Authorized Official Contact | 2622871999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guided Wellness Counseling 6032 40th Ave Kenosha WI 53142-7018 Ph: (262) 287-1999 | Guided Wellness Counseling 6032 40th Ave Kenosha WI 53142-7018 Ph: (262) 287-1999 |
NPI Number | 1093182941 |
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Provider Enumeration Date | 08/26/2015 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Medicare PECOS PAC ID | 5395098735 |
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Medicare Enrollment ID | O20181031003167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093182941 | NPI | - | NPPES |
1831489269 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Erin T Mottinger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831489269 PECOS PAC ID: 6305070160 Enrollment ID: I20131009002031 |
Provider Name | Julie S Sokol |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659851962 PECOS PAC ID: 9234483470 Enrollment ID: I20181107000876 |
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