Elissa Box, LPC | |
15285 Watertown Plank Rd Ste 102, Elm Grove, WI 53122-2339 | |
(414) 533-5228 | |
Not Available |
Full Name | Elissa Box |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 15285 Watertown Plank Rd Ste 102, Elm Grove, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154802734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6968-125 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 6968-125 (Wisconsin) | Primary |
Entity Name | Progressive Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720153653 PECOS PAC ID: 2466366059 Enrollment ID: O20031118000358 |
Mailing Address | Practice Location Address |
---|---|
Elissa Box, LPC 15285 Watertown Plank Rd Ste 102, Elm Grove, WI 53122-2339 Ph: () - | Elissa Box, LPC 15285 Watertown Plank Rd Ste 102, Elm Grove, WI 53122-2339 Ph: (414) 533-5228 |
Dr. Ivanna M Richardson, EDD LMFT LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12970 W Bluemound Rd, #105, Elm Grove, WI 53122 Phone: 262-787-2907 | |
Mr. Leslie Harold Prausa, LPC, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 12425 Knoll Rd, Suite 110, Elm Grove, WI 53122 Phone: 262-780-9788 Fax: 262-432-0045 | |
Jessica Sullivan, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122 Phone: 414-375-9314 | |
John Michael Duffey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188 | |
Nancy Winston, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122 Phone: 262-797-2818 Fax: 262-797-2814 | |
Coleen Rae Kittleson, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12970 W Bluemound Rd, 308, Elm Grove, WI 53122 Phone: 262-780-1020 Fax: 262-780-1022 | |
Autumn Verstegan Melian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188 |