| Rising Tides Counseling, Llc | |
|
12727 64th Ave Pleasant Prairie WI 53158-3655 | |
| (262) 909-6253 | |
| Not Available |
| Full Name | Rising Tides Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12727 64th Ave, Pleasant Prairie, Wisconsin |
| Authorized Official Name and Position | Marvin Abac Valdez (OWNER/THERAPIST) |
| Authorized Official Contact | 2629096253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Tides Counseling, Llc 12727 64th Ave Pleasant Prairie WI 53158-3655 Ph: (262) 909-6253 | Rising Tides Counseling, Llc 12727 64th Ave Pleasant Prairie WI 53158-3655 Ph: (262) 909-6253 |
| NPI Number | 1699500611 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699500611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Jkey Counseling And Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9130 83rd St Apt 133, Pleasant Prairie, WI 53158 Phone: 262-327-7452 |