| Southwoods Counseling Clinic, Llc | |
|
4714 Commerce Valley Rd Suite B Eau Claire WI 54701-9033 | |
| (715) 834-1000 | |
| (715) 834-1170 |
| Full Name | Southwoods Counseling Clinic, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4714 Commerce Valley Rd, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Heidi Siverling-bauer (OFFICE MANAGER) |
| Authorized Official Contact | 7158341000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwoods Counseling Clinic, Llc 4714 Commerce Valley Rd Suite B Eau Claire WI 54701-9033 Ph: (715) 834-1000 | Southwoods Counseling Clinic, Llc 4714 Commerce Valley Rd Suite B Eau Claire WI 54701-9033 Ph: (715) 834-1000 |
| NPI Number | 1386701514 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386701514 | NPI | - | NPPES |
| 42223000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2306 (Wisconsin) | Primary |
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