| Patchwork Counseling Collective Llc | |
|
12425 Knoll Rd Ste 110 Elm Grove WI 53122-2656 | |
| (414) 775-8107 | |
| Not Available |
| Full Name | Patchwork Counseling Collective Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12425 Knoll Rd Ste 110, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Teresa Coste (OWNER) |
| Authorized Official Contact | 2624705811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Counseling Collective Llc 12425 Knoll Rd Ste 110 Elm Grove WI 53122-2656 Ph: (414) 775-8107 | Patchwork Counseling Collective Llc 12425 Knoll Rd Ste 110 Elm Grove WI 53122-2656 Ph: (414) 775-8107 |
| NPI Number | 1851066518 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851066518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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