| Synergy Counseling Services, Inc | |
|
1415 East Green Bay St. Suite 191 Shawano WI 54166-3881 | |
| (715) 526-5466 | |
| (715) 526-5545 |
| Full Name | Synergy Counseling Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1415 East Green Bay St., Shawano, Wisconsin |
| Authorized Official Name and Position | Neil C. Vanrossum (DIRECTOR) |
| Authorized Official Contact | 7155265466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Counseling Services, Inc 1415 East Green Bay St. Suite 191 Shawano WI 54166-3881 Ph: (715) 526-5466 | Synergy Counseling Services, Inc 1415 East Green Bay St. Suite 191 Shawano WI 54166-3881 Ph: (715) 526-5466 |
| NPI Number | 1033127444 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033127444 | NPI | - | NPPES |
| 42225900 | Medicaid | WI | |
| 42196300 | Medicaid | WI | |
| 42196400 | Medicaid | WI | |
| 42175300 | Medicaid | WI |
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