| Positive Regard Llc | |
|
5801 Washington Ave Ste 201c Mount Pleasant WI 53406-4057 | |
| (262) 909-5674 | |
| Not Available |
| Full Name | Positive Regard Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5801 Washington Ave Ste 201c, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Kaylee P Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2629095674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Regard Llc 5045 Briarwood Ln Racine WI 53402-2183 Ph: (262) 909-5674 | Positive Regard Llc 5801 Washington Ave Ste 201c Mount Pleasant WI 53406-4057 Ph: (262) 909-5674 |
| NPI Number | 1124764758 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124764758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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