| Impact Counseling Services, Llc | |
|
301 Ellis Ave Suite 1 Ashland WI 54806-1667 | |
| (715) 682-3523 | |
| Not Available |
| Full Name | Impact Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 301 Ellis Ave, Ashland, Wisconsin |
| Authorized Official Name and Position | Renee M Millwood (DIRECTOR) |
| Authorized Official Contact | 7156340607 |
| 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 Suite 1 Ashland WI 54806-1667 Ph: (715) 682-3523 |
| NPI Number | 1467626606 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467626606 | NPI | - | NPPES |
| 43008600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 43008600 (Wisconsin) | Primary |
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