| Mindy's Place | |
|
2961 Yarmouth Greenway Dr Ste 2 Fitchburg WI 53711-5809 | |
| (608) 279-2481 | |
| (608) 938-2502 |
| Full Name | Mindy's Place |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2961 Yarmouth Greenway Dr Ste 2, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Stacy Lee Knoll (OWNER) |
| Authorized Official Contact | 6082792481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy's Place 2961 Yarmouth Greenway Dr Ste 2 Fitchburg WI 53711-5809 Ph: (608) 279-2481 | Mindy's Place 2961 Yarmouth Greenway Dr Ste 2 Fitchburg WI 53711-5809 Ph: (608) 279-2481 |
| NPI Number | 1922869312 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922869312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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