| Mb Counseling Center Of West Bend, Llc | |
|
305 N 7th Ave West Bend WI 53095-3268 | |
| (262) 388-7323 | |
| Not Available |
| Full Name | Mb Counseling Center Of West Bend, Llc |
|---|---|
| Speciality | Counselor |
| Location | 305 N 7th Ave, West Bend, Wisconsin |
| Authorized Official Name and Position | Michelle Bingen (DIRECTOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2623887323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Counseling Center Of West Bend, Llc 6451 Wildlife Dr Allenton WI 53002-9525 Ph: (262) 388-7323 | Mb Counseling Center Of West Bend, Llc 305 N 7th Ave West Bend WI 53095-3268 Ph: (262) 388-7323 |
| NPI Number | 1881125458 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Medicare PECOS PAC ID | 0547539611 |
|---|---|
| Medicare Enrollment ID | O20170705001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881125458 | NPI | - | NPPES |
| 39793000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 646-123 (Wisconsin) | Primary |
| Provider Name | Michelle L Bingen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245330307 PECOS PAC ID: 5496979569 Enrollment ID: I20140610002432 |
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