| Middle Coast Therapy Llc | |
|
2321 E Capitol Dr Milwaukee WI 53211-2119 | |
| (414) 367-9111 | |
| (414) 355-9665 |
| Full Name | Middle Coast Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2321 E Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Andrew M.l. Silverman (PRESIDENT) |
| Authorized Official Contact | 4143679111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Coast Therapy Llc 2118a N Cambridge Ave Milwaukee WI 53202-1014 Ph: (414) 367-9111 | Middle Coast Therapy Llc 2321 E Capitol Dr Milwaukee WI 53211-2119 Ph: (414) 367-9111 |
| NPI Number | 1730833146 |
|---|---|
| Provider Enumeration Date | 02/05/2022 |
| Last Update Date | 02/05/2022 |
| Certification Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730833146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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