Mahogany Heart Counseling Llc | |
7384 N 60th St Milwaukee WI 53223-4602 | |
(414) 865-3456 | |
Not Available |
Full Name | Mahogany Heart Counseling Llc |
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Speciality | Counselor |
Location | 7384 N 60th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Chuntel Webb (OWNER) |
Authorized Official Contact | 4148653456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mahogany Heart Counseling Llc 7384 N 60th St Milwaukee WI 53223-4602 Ph: (414) 865-3456 | Mahogany Heart Counseling Llc 7384 N 60th St Milwaukee WI 53223-4602 Ph: (414) 865-3456 |
NPI Number | 1255112751 |
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Provider Enumeration Date | 10/10/2023 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Medicare PECOS PAC ID | 3072956127 |
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Medicare Enrollment ID | O20240206003342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255112751 | NPI | - | NPPES |
Provider Name | Veronica Ashlene Powell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811552623 PECOS PAC ID: 3072841212 Enrollment ID: I20190826001578 |
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