Trilogy Behavioral Health Services | |
7384 N 60th St Brown Deer WI 53223-4602 | |
(414) 737-4774 | |
Not Available |
Full Name | Trilogy Behavioral Health Services |
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Speciality | Clinic/Center |
Location | 7384 N 60th St, Brown Deer, Wisconsin |
Authorized Official Name and Position | Shalonda N Myles (OWNER) |
Authorized Official Contact | 4147028339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trilogy Behavioral Health Services 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 702-8339 | Trilogy Behavioral Health Services 7384 N 60th St Brown Deer WI 53223-4602 Ph: (414) 737-4774 |
NPI Number | 1508586033 |
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Provider Enumeration Date | 09/02/2022 |
Last Update Date | 08/21/2023 |
Certification Date | 07/17/2023 |
Medicare PECOS PAC ID | 5193191716 |
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Medicare Enrollment ID | O20221021001250 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508586033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Veronica Ashlene Powell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811552623 PECOS PAC ID: 3072841212 Enrollment ID: I20190826001578 |
Provider Name | Shalonda Myles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659569929 PECOS PAC ID: 5092143750 Enrollment ID: I20200312001297 |
Provider Name | Amanda Marie Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558886598 PECOS PAC ID: 7517387913 Enrollment ID: I20201024000030 |
Provider Name | Mikar Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205592425 PECOS PAC ID: 7113305467 Enrollment ID: I20220527001812 |
Provider Name | Yasmin Majumder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811305766 PECOS PAC ID: 1254559446 Enrollment ID: I20220705003088 |
Provider Name | Shanna Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386940575 PECOS PAC ID: 1153785357 Enrollment ID: I20231229001363 |
C.o.r.e.,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 W Schroeder Dr, Suite 185, Brown Deer, WI 53223 Phone: 414-586-0222 Fax: 414-586-0236 | |
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Annette E Madison Msw Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6051 W Brown Deer Rd, Suite 106, Brown Deer, WI 53223 Phone: 414-354-1030 Fax: 414-354-7584 | |
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