Shawl Therapy And Consulting, Llc | |
2923 Marketplace Dr Ste 204 Fitchburg WI 53719-5321 | |
(608) 549-5781 | |
Not Available |
Full Name | Shawl Therapy And Consulting, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2923 Marketplace Dr Ste 204, Fitchburg, Wisconsin |
Authorized Official Name and Position | Lauren Shawl (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6082184493 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shawl Therapy And Consulting, Llc 680 Fairview Ter Verona WI 53593-1506 Ph: (608) 218-4493 | Shawl Therapy And Consulting, Llc 2923 Marketplace Dr Ste 204 Fitchburg WI 53719-5321 Ph: (608) 549-5781 |
NPI Number | 1689491813 |
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Provider Enumeration Date | 09/19/2024 |
Last Update Date | 09/19/2024 |
Certification Date | 09/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689491813 | NPI | - | NPPES |
1619586393 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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