| Georgia Rose Black, MS | |
|
4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | |
| (262) 432-7702 | |
| (262) 432-7795 |
| Full Name | Georgia Rose Black |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4855 S Moorland Rd Ste 150, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497378947 | NPI | - | NPPES |
| 1497378947 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4665 (Wisconsin) | Primary |
| 221700000X | Art Therapist | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Rose Black, MS 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615 | Georgia Rose Black, MS 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 Ph: (262) 432-7702 |
Michelle Valentina Tocco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15350 W National Ave, New Berlin, WI 53151 Phone: 262-249-6565 |
Aditi Padmaja Narayan, MSW, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5750 S Nicolet Dr, New Berlin, WI 53151 Phone: 414-731-4096 |
Marta Alicia Kraft, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13385 W Maple Ridge Rd, New Berlin, WI 53151 Phone: 480-299-4812 |
Kristen M Barron, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3333 S Sunny Slope Rd Ste 103a, New Berlin, WI 53151 Phone: 414-331-5442 |
Ms. Montine Rene Pauers, NCC, LPC, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 414-296-9606 |
Mrs. Dawn Marie Mumaw, LCSW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6170 S Rosetree Pass, New Berlin, WI 53151 Phone: 126-232-7288 |
Sarah P Greil, MS, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd Ste 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 |