| Life Focus Counseling Sc | |
|
6214 Washington Ave Suite C-10 Racine WI 53406-3986 | |
| (262) 989-6212 | |
| (262) 884-4405 |
| Full Name | Life Focus Counseling Sc |
|---|---|
| Speciality | Social Worker |
| Location | 6214 Washington Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Barbara Mizer (OWNER) |
| Authorized Official Contact | 2629896212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Focus Counseling Sc 6214 Washington Ave Suite C-10 Racine WI 53406-3986 Ph: (262) 989-6212 | Life Focus Counseling Sc 6214 Washington Ave Suite C-10 Racine WI 53406-3986 Ph: (262) 989-6212 |
| NPI Number | 1538495775 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 10/22/2009 |
| Medicare PECOS PAC ID | 7416095781 |
|---|---|
| Medicare Enrollment ID | O20091105000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538495775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6718-123 (Wisconsin) | Primary |
| Provider Name | Barbara B Mizer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467588590 PECOS PAC ID: 7719962513 Enrollment ID: I20040623001428 |
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