| The Power Of Change Inc | |
|
2821 N Vel R Phillips Ave Ste 131 Milwaukee WI 53212-2370 | |
| (414) 374-8787 | |
| (414) 374-8181 |
| Full Name | The Power Of Change Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rhonda Sherie Armon-bent (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4143748787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Power Of Change Inc 2821 N Vel R Phillips Ave Ste 131 Milwaukee WI 53212-2370 Ph: (414) 374-8787 | The Power Of Change Inc 2821 N Vel R Phillips Ave Ste 131 Milwaukee WI 53212-2370 Ph: (414) 374-8787 |
| NPI Number | 1730477688 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 4587986443 |
|---|---|
| Medicare Enrollment ID | O20141203001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730477688 | NPI | - | NPPES |
| Provider Name | Bruce A Semon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020773 PECOS PAC ID: 3971498866 Enrollment ID: I20040219000202 |
| Provider Name | Howard Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093042715 PECOS PAC ID: 2466774336 Enrollment ID: I20141203001507 |
| Provider Name | Mark Steven Fossie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114145612 PECOS PAC ID: 8325362668 Enrollment ID: I20240329001367 |
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