| Impact Counseling Services, Llc | |
|
15655 County Road B Hayward WI 54843-3251 | |
| (715) 634-0607 | |
| (715) 634-0617 |
| Full Name | Impact Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15655 County Road B, Hayward, Wisconsin |
| Authorized Official Name and Position | Renee Marie Millwood (DIRECTOR) |
| Authorized Official Contact | 7156340607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Services, Llc 15655 County Hwy B P.o. Box 13251 Hayward WI 54843 Ph: (715) 634-0607 | Impact Counseling Services, Llc 15655 County Road B Hayward WI 54843-3251 Ph: (715) 634-0607 |
| NPI Number | 1346419082 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346419082 | NPI | - | NPPES |
| 42213900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 42213900 (Wisconsin) | Primary |
County Of Sawyer Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10610 Main St Ste 224, Hayward, WI 54843 Phone: 715-638-3434 Fax: 715-634-5387 | |
Northland Counseling Services Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10045 N State Road 27, Hayward, WI 54843 Phone: 715-373-0160 Fax: 715-373-0162 | |
Lac Courte Oreilles Comprehensive Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-699-1695 Fax: 715-634-6107 | |
Superior Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10592 Main St, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091 | |
Lac Courte Oreilles Day Treatment Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5100 Fax: 715-634-6107 | |
Northwoods Behavioral Health Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15617 Us Highway 63, Hayward, WI 54843 Phone: 715-634-4673 Fax: 715-634-4675 |