| Lake City Counseling, Llc | |
|
1532 W Broadway Ste 202 Monona WI 53713-1828 | |
| (608) 661-2829 | |
| (608) 661-0907 |
| Full Name | Lake City Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1532 W Broadway Ste 202, Monona, Wisconsin |
| Authorized Official Name and Position | Michaela L Voeck (OWNER/DIRECTOR) |
| Authorized Official Contact | 6086612829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Counseling, Llc 1532 W Broadway Ste 202 Monona WI 53713-1828 Ph: (608) 661-2829 | Lake City Counseling, Llc 1532 W Broadway Ste 202 Monona WI 53713-1828 Ph: (608) 661-2829 |
| NPI Number | 1679755987 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 6103995477 |
|---|---|
| Medicare Enrollment ID | O20080513000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679755987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Beth S Whittemore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942278304 PECOS PAC ID: 8729157094 Enrollment ID: I20080513000718 |
| Provider Name | Sandra B Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437515327 PECOS PAC ID: 6901100924 Enrollment ID: I20160211000092 |
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