| River Of Change Counseling And Life Coaching Services Inc. | |
|
6767 W Greenfield Ave Ste Ll1 West Allis WI 53214-4967 | |
| (414) 455-3003 | |
| (414) 455-3151 |
| Full Name | River Of Change Counseling And Life Coaching Services Inc. |
|---|---|
| Speciality | Counselor |
| Location | 6767 W Greenfield Ave Ste Ll1, West Allis, Wisconsin |
| Authorized Official Name and Position | Sarah Hillmert-gallitz (PRESIDENT) |
| Authorized Official Contact | 4144757830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Of Change Counseling And Life Coaching Services Inc. 6767 W Greenfield Ave Ste Ll1 West Allis WI 53214-4967 Ph: (414) 475-7830 | River Of Change Counseling And Life Coaching Services Inc. 6767 W Greenfield Ave Ste Ll1 West Allis WI 53214-4967 Ph: (414) 455-3003 |
| NPI Number | 1932671849 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Medicare PECOS PAC ID | 4789921479 |
|---|---|
| Medicare Enrollment ID | O20190204002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932671849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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