| New Leaf Therapies, Llc | |
|
2266 N Prospect Ave Ste 450b Milwaukee WI 53202-6319 | |
| (414) 332-2227 | |
| Not Available |
| Full Name | New Leaf Therapies, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2266 N Prospect Ave Ste 450b, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Lynn Delahan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4143322227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Therapies, Llc 4230 N Oakland Ave Ste 198 Shorewood WI 53211-2042 Ph: (414) 332-2227 | New Leaf Therapies, Llc 2266 N Prospect Ave Ste 450b Milwaukee WI 53202-6319 Ph: (414) 332-2227 |
| NPI Number | 1336411800 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Medicare PECOS PAC ID | 3274766498 |
|---|---|
| Medicare Enrollment ID | O20140423001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336411800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7397-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 7525-123 (Wisconsin) | Secondary |
| Provider Name | Joshua D Delahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245300516 PECOS PAC ID: 9234362450 Enrollment ID: I20140423002037 |
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