| Narrative Therapy Mke Llc | |
|
6833 W Fond Du Lac Ave Ste 101 Milwaukee WI 53218-3900 | |
| (414) 379-0093 | |
| Not Available |
| Full Name | Narrative Therapy Mke Llc |
|---|---|
| Speciality | Counselor |
| Location | 6833 W Fond Du Lac Ave Ste 101, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Bao Yang (OWNER) |
| Authorized Official Contact | 4149440021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Narrative Therapy Mke Llc 3686 S 69th St Milwaukee WI 53220-1202 Ph: (414) 379-0093 | Narrative Therapy Mke Llc 6833 W Fond Du Lac Ave Ste 101 Milwaukee WI 53218-3900 Ph: (414) 379-0093 |
| NPI Number | 1235992082 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 04/13/2024 |
| Certification Date | 04/13/2024 |
| Medicare PECOS PAC ID | 5799124889 |
|---|---|
| Medicare Enrollment ID | O20240423000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235992082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bao Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023636313 PECOS PAC ID: 6608215793 Enrollment ID: I20240423001032 |
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