| Space To Heal Mental Health Services | |
|
333 W Brown Deer Rd Unit G526 Milwaukee WI 53217-2372 | |
| (832) 947-4673 | |
| Not Available |
| Full Name | Space To Heal Mental Health Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 W Brown Deer Rd Unit G526, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Aasiyah Clark (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8329474673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space To Heal Mental Health Services 333 W Brown Deer Rd Unit G526 Milwaukee WI 53217-2372 Ph: (832) 947-4673 | Space To Heal Mental Health Services 333 W Brown Deer Rd Unit G526 Milwaukee WI 53217-2372 Ph: (832) 947-4673 |
| NPI Number | 1184219636 |
|---|---|
| Provider Enumeration Date | 03/06/2021 |
| Last Update Date | 03/06/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184219636 | NPI | - | NPPES |
| 1235578709 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
River's Shore Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Medical Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |