| Manifest Wellness, Llc | |
|
2010 Eastwood Dr Ste 102 Madison WI 53704-5387 | |
| (608) 291-3676 | |
| (608) 716-3156 |
| Full Name | Manifest Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2010 Eastwood Dr Ste 102, Madison, Wisconsin |
| Authorized Official Name and Position | Jennifer Klekamp (OWNER, PROGRAM DIRECTOR) |
| Authorized Official Contact | 6089827698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifest Wellness, Llc 2010 Eastwood Dr Ste 104 Madison WI 53704-5387 Ph: (608) 291-3676 | Manifest Wellness, Llc 2010 Eastwood Dr Ste 102 Madison WI 53704-5387 Ph: (608) 291-3676 |
| NPI Number | 1750064283 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Medicare PECOS PAC ID | 5799223012 |
|---|---|
| Medicare Enrollment ID | O20240819001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750064283 | NPI | - | NPPES |
| Provider Name | Jennifer Klekamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265896138 PECOS PAC ID: 7416495734 Enrollment ID: I20240820000246 |
| Provider Name | Margaret L Dollahan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134702459 PECOS PAC ID: 0648719799 Enrollment ID: I20240903003048 |
| Provider Name | Kaitlin Rose Sherman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487438701 PECOS PAC ID: 6901346873 Enrollment ID: I20240905003781 |
| Provider Name | Madeleine C Stoelinga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922881002 PECOS PAC ID: 7113450958 Enrollment ID: I20241031002028 |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-616-0118 Fax: 608-663-5928 | |
Creating Space, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1915 Winnebago St Ste 101, Madison, WI 53704 Phone: 608-205-8205 Fax: 608-999-7313 | |
Think & Grow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Landmark Pl Ste 215, Madison, WI 53713 Phone: 608-957-7277 Fax: 608-252-1333 | |
Adhd Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 S Yellowstone Dr Ste 217b, Madison, WI 53719 Phone: 608-467-2332 | |
Comprehensive Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5709 Divine St, Madison, WI 53718 Phone: 608-504-1492 | |
Golden Mend Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave Ste 220, Madison, WI 53713 Phone: 608-729-8696 | |
The Family Resource Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Price Pl Ste 11, Madison, WI 53705 Phone: 608-575-7518 |