Impact Counseling Services, Llc | |
301 Ellis Ave Ashland WI 54806-1667 | |
(715) 682-3523 | |
Not Available |
Full Name | Impact Counseling Services, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 301 Ellis Ave, Ashland, Wisconsin |
Authorized Official Name and Position | Renee M Millwood (DIRECTOR) |
Authorized Official Contact | 7152965399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impact Counseling Services, Llc 15655 Co Hwy B Po Box 13251 Hayward WI 54843 Ph: (715) 634-0607 | Impact Counseling Services, Llc 301 Ellis Ave Ashland WI 54806-1667 Ph: (715) 682-3523 |
NPI Number | 1326212572 |
---|---|
Provider Enumeration Date | 04/18/2008 |
Last Update Date | 08/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326212572 | NPI | - | NPPES |
42242600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 42242600 (Wisconsin) | Primary |
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