| Impact Counseling Services, Llc | |
|
301 Ellis Ave Ashland WI 54806-1667 | |
| (715) 682-3523 | |
| Not Available |
| Full Name | Impact Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 301 Ellis Ave, Ashland, Wisconsin |
| Authorized Official Name and Position | Renee M Millwood (DIRECTOR) |
| Authorized Official Contact | 7152965399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Services, Llc 15655 Co Hwy B Po Box 13251 Hayward WI 54843 Ph: (715) 634-0607 | Impact Counseling Services, Llc 301 Ellis Ave Ashland WI 54806-1667 Ph: (715) 682-3523 |
| NPI Number | 1326212572 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326212572 | NPI | - | NPPES |
| 42242600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 42242600 (Wisconsin) | Primary |
Northland Counseling Services Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 West 3rd St, Ashland, WI 54806 Phone: 715-373-0160 | |
Impact Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Ellis Ave, Suite 1, Ashland, WI 54806 Phone: 715-682-3523 | |
First Mile Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Main St W Ste 305, Ashland, WI 54806 Phone: 715-765-1498 |