Empower Her Therapy | |
W4795 Deer Run Dr Black Creek WI 54106-8175 | |
(920) 205-6158 | |
Not Available |
Full Name | Empower Her Therapy |
---|---|
Speciality | Social Worker - Clinical |
Location | W4795 Deer Run Dr, Black Creek, Wisconsin |
Authorized Official Name and Position | Leslie Elmer (CREDENTIALING MANAGER) |
Authorized Official Contact | 6083528323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Empower Her Therapy W4795 Deer Run Dr Black Creek WI 54106-8175 Ph: () - | Empower Her Therapy W4795 Deer Run Dr Black Creek WI 54106-8175 Ph: (920) 205-6158 |
NPI Number | 1275390205 |
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Provider Enumeration Date | 03/05/2024 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275390205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Mckay & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Beech St, Black Creek, WI 54106 Phone: 920-209-3633 |