| Mental Health On Prairie | |
|
2797 Prairie Ave Ste 22 Beloit WI 53511-2288 | |
| (608) 481-2330 | |
| Not Available |
| Full Name | Mental Health On Prairie |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2797 Prairie Ave Ste 22, Beloit, Wisconsin |
| Authorized Official Name and Position | Faith Mattison (OWNER, LCSW) |
| Authorized Official Contact | 6084812330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health On Prairie 2797 Prairie Ave Ste 22 Beloit WI 53511-2288 Ph: () - | Mental Health On Prairie 2797 Prairie Ave Ste 22 Beloit WI 53511-2288 Ph: (608) 481-2330 |
| NPI Number | 1942063482 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942063482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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