| Wakoda Trails Llc | |
|
7425 Red Banks Rd Gillett WI 54124-9749 | |
| (920) 590-1397 | |
| Not Available |
| Full Name | Wakoda Trails Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7425 Red Banks Rd, Gillett, Wisconsin |
| Authorized Official Name and Position | Corinne L Schardt (OWNER/OPERATOR/INSTRUCTOR) |
| Authorized Official Contact | 9205901397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakoda Trails Llc 7425 Red Banks Rd Gillett WI 54124-9749 Ph: (920) 590-1397 | Wakoda Trails Llc 7425 Red Banks Rd Gillett WI 54124-9749 Ph: (920) 590-1397 |
| NPI Number | 1346821642 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346821642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Cooperative Educational Service Agency No 8 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Park Street, Gillett, WI 54124 Phone: 920-855-2114 Fax: 920-855-2299 | |
St. Vincent Hospital-libertas Of Gillett Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 N Green Bay Ave, Gillett, WI 54124 Phone: 920-855-2823 |