Heart Consulting Llc | |
4706 Cottage Grove Rd Ste 300 Madison WI 53716-1354 | |
(608) 513-2139 | |
(608) 541-8258 |
Full Name | Heart Consulting Llc |
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Speciality | Counselor |
Location | 4706 Cottage Grove Rd Ste 300, Madison, Wisconsin |
Authorized Official Name and Position | Ellen M Merker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6085132139 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heart Consulting Llc 4706 Cottage Grove Rd Ste 300 Madison WI 53716-1354 Ph: (608) 513-2139 | Heart Consulting Llc 4706 Cottage Grove Rd Ste 300 Madison WI 53716-1354 Ph: (608) 513-2139 |
NPI Number | 1912552878 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |
Medicare PECOS PAC ID | 0143670257 |
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Medicare Enrollment ID | O20240102000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912552878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Provider Name | Ellen Merker |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811471550 PECOS PAC ID: 1052761160 Enrollment ID: I20240102000551 |
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