| Superior Counseling, Llc | |
|
10592 Main St Hayward WI 54843-6658 | |
| (715) 416-1381 | |
| (715) 934-2091 |
| Full Name | Superior Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10592 Main St, Hayward, Wisconsin |
| Authorized Official Name and Position | Elizabeth Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7154161381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Counseling, Llc Po Box 1021 Hayward WI 54843-1021 Ph: (715) 416-1381 | Superior Counseling, Llc 10592 Main St Hayward WI 54843-6658 Ph: (715) 416-1381 |
| NPI Number | 1225583883 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 09/06/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 1456736065 |
|---|---|
| Medicare Enrollment ID | O20220919001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225583883 | NPI | - | NPPES |
| 100035911 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5875125 (Wisconsin) | Primary |
| Provider Name | Rosemary A Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215363551 PECOS PAC ID: 7911137831 Enrollment ID: I20140220000352 |
| Provider Name | Alexandra Bice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063927432 PECOS PAC ID: 1153773775 Enrollment ID: I20240119000885 |
| Provider Name | Thomas W Jordan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316367048 PECOS PAC ID: 4385097765 Enrollment ID: I20240201002437 |
| Provider Name | Elizabeth Anne Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164844379 PECOS PAC ID: 6901281518 Enrollment ID: I20240211000031 |
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