Higher Ground Counseling, Llc | |
6000 Gisholt Dr Ste 202 Monona WI 53713 | |
(608) 205-5212 | |
(608) 807-4474 |
Full Name | Higher Ground Counseling, Llc |
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Speciality | Social Worker |
Location | 6000 Gisholt Dr Ste 202, Monona, Wisconsin |
Authorized Official Name and Position | Loren Ann Fisher (OWNER, THERAPIST) |
Authorized Official Contact | 6082055212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Higher Ground Counseling, Llc 6000 Gisholt Dr Ste 202 Monona WI 53713-4816 Ph: (608) 205-5212 | Higher Ground Counseling, Llc 6000 Gisholt Dr Ste 202 Monona WI 53713 Ph: (608) 205-5212 |
NPI Number | 1336687995 |
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Provider Enumeration Date | 02/03/2017 |
Last Update Date | 03/24/2019 |
Medicare PECOS PAC ID | 3678858420 |
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Medicare Enrollment ID | O20170320000151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336687995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8224-123 (Wisconsin) | Primary |
Provider Name | Loren Ann Fisher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588857452 PECOS PAC ID: 0446472708 Enrollment ID: I20141121000359 |
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