| Hidden Path Counseling, Llc | |
|
10 S Water St E Fort Atkinson WI 53538-2053 | |
| (608) 322-8552 | |
| Not Available |
| Full Name | Hidden Path Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 S Water St E, Fort Atkinson, Wisconsin |
| Authorized Official Name and Position | Jill M Mallin (PSYCHOLOGIST) |
| Authorized Official Contact | 6083228552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Path Counseling, Llc 301 Cherokee Ln Fort Atkinson WI 53538-3006 Ph: (608) 322-8552 | Hidden Path Counseling, Llc 10 S Water St E Fort Atkinson WI 53538-2053 Ph: (608) 322-8552 |
| NPI Number | 1528683679 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 8022421429 |
|---|---|
| Medicare Enrollment ID | O20210104000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528683679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jill Mallin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184248593 PECOS PAC ID: 0840603247 Enrollment ID: I20210104000537 |
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