N/a - Mental Health Clinic in Berlin, WI

N/a is a mental health clinic (Community/behavioral Health) in Berlin, Wisconsin. The current practice location for N/a is 141 W Huron St, Berlin, Wisconsin. For appointments, you can reach them via phone at (920) 290-0107. The mailing address for N/a is 141 W Huron St, Berlin, Wisconsin and phone number is (920) 290-0107.

N/a is licensed to practice in Wisconsin (license number 652-124) and its NPI number is 1710153051. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (920) 290-0107.

Contact Information

N/a
141 W Huron St
Berlin
WI 54923-1587
(920) 290-0107
Not Available

Mental Health Clinic Profile

Full NameN/a
SpecialityCommunity/behavioral Health
Location141 W Huron St, Berlin, Wisconsin
Authorized Official Name and PositionCharlotte Louise Groves (LMFT)
Authorized Official Contact9202900107
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
N/a
141 W Huron St
Berlin
WI 54923-1587

Ph: (920) 290-0107
N/a
141 W Huron St
Berlin
WI 54923-1587

Ph: (920) 290-0107

NPI Details:

NPI Number1710153051
Provider Enumeration Date05/06/2008
Last Update Date05/06/2008

Medical Identifiers

Medical identifiers for N/a such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710153051NPI-NPPES
42244600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 652-124 (Wisconsin)Primary

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Community/Behavioral Health in Berlin, WI

Jason L. Fairweather
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Medicare: Not Enrolled in Medicare
Practice Location: 553 Broadway, Berlin, WI 54923
Phone: 920-204-6590    
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