| Peace Of Mind Counseling Llc | |
|
115 5th Ave S Suite 507 La Crosse WI 54601-9200 | |
| (608) 797-5679 | |
| Not Available |
| Full Name | Peace Of Mind Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 115 5th Ave S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Jay K Clark (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 6087975679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Counseling Llc 115 5th Avenue South Suite 507 La Crosse WI 54601 Ph: (608) 797-5679 | Peace Of Mind Counseling Llc 115 5th Ave S Suite 507 La Crosse WI 54601-9200 Ph: (608) 797-5679 |
| NPI Number | 1861837692 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 6305190166 |
|---|---|
| Medicare Enrollment ID | O20181114000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861837692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3814-125 (Wisconsin) | Primary |
| Provider Name | Jacquelyn A Cody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588949135 PECOS PAC ID: 0345407748 Enrollment ID: I20120221000681 |
| Provider Name | Alicia S Skiles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003221821 PECOS PAC ID: 5294185229 Enrollment ID: I20240103000664 |
| Provider Name | Jennifer Winifred Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275026437 PECOS PAC ID: 7012369044 Enrollment ID: I20240116001213 |
| Provider Name | Rhonda Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497364012 PECOS PAC ID: 4082067970 Enrollment ID: I20240126002395 |
| Provider Name | Karla Mathews Fennie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306283742 PECOS PAC ID: 1658715974 Enrollment ID: I20240214003444 |
| Provider Name | Jay K Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790962561 PECOS PAC ID: 3577817337 Enrollment ID: I20240221002375 |
| Provider Name | Ashlee Vlasak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942606769 PECOS PAC ID: 0345685012 Enrollment ID: I20240304003453 |
| Provider Name | Lisa Jane Burnham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801244025 PECOS PAC ID: 8820436371 Enrollment ID: I20240403003215 |
| Provider Name | Amanda Jean Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023474962 PECOS PAC ID: 7113367772 Enrollment ID: I20240430000638 |
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