| Psychiatric Associates Counseling Center Llc | |
|
122 W South St Viroqua WI 54665-0206 | |
| (608) 637-2511 | |
| (608) 637-7921 |
| Full Name | Psychiatric Associates Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 W South St, Viroqua, Wisconsin |
| Authorized Official Name and Position | Julie C Noth (CLINIC DIRECTOR) |
| Authorized Official Contact | 6086372511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates Counseling Center Llc Po Box 206 122 W South St Viroqua WI 54665-0206 Ph: (608) 637-2511 | Psychiatric Associates Counseling Center Llc 122 W South St Viroqua WI 54665-0206 Ph: (608) 637-2511 |
| NPI Number | 1821141540 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739353889 |
|---|---|
| Medicare Enrollment ID | O20111129000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821141540 | NPI | - | NPPES |
| 42167000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1754 (Wisconsin) | Primary |
| Provider Name | Dean B Saner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952448946 PECOS PAC ID: 5193751782 Enrollment ID: I20050714000826 |
| Provider Name | Kathryn M Frydenlund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659433688 PECOS PAC ID: 4981073053 Enrollment ID: I20221212002272 |
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Dean Saner, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W South St, Viroqua, WI 54665 Phone: 608-637-2511 | |
David Van Dyke Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W South St, Viroqua, WI 54665 Phone: 608-637-2511 Fax: 608-637-7921 | |
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