| Mr Alex B Goldman, MA, LPC, CSAC | |
|
11414 W Park Place Suite 202, Milwaukee, WI 53224 | |
| (414) 292-7060 | |
| (414) 871-9121 |
| Full Name | Mr Alex B Goldman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 11414 W Park Place Suite 202, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346413515 | NPI | - | NPPES |
| 39175300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14468-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 4808-125 (Wisconsin) | Primary |
| Entity Name | Abg Wellness Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alex B Goldman, MA, LPC, CSAC 11414 W Park Place Suite 202, Milwaukee, WI 53224 Ph: (414) 292-7060 | Mr Alex B Goldman, MA, LPC, CSAC 11414 W Park Place Suite 202, Milwaukee, WI 53224 Ph: (414) 292-7060 |
Mrs. Kimberly A Mccormick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 833 N 26th St, Milwaukee, WI 53233 Phone: 414-344-7676 | |
Crystal Z Mclean, Counselor Medicare: Medicare Enrolled Practice Location: 820 N Plankinton Ave, Milwaukee, WI 53203 Phone: 414-225-1606 Fax: 414-223-6800 | |
Tonyetta L Ross, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 5330 W Villard Ave, Milwaukee, WI 53218 Phone: 414-488-6291 Fax: 414-488-6293 | |
Jennifer A Patterson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5007 S Howell Ave, Milwaukee, WI 53207 Phone: 414-293-0077 | |
Mrs. Shantrease Benson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2677 N 40th St, Milwaukee, WI 53210 Phone: 414-447-1965 Fax: 414-874-2820 | |
Miss Lauren Joy Allar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1849 N Dr Martin Luther King Jr Dr Ste 101, Milwaukee, WI 53212 Phone: 414-347-1774 | |
Alyssa Nicole Eckman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St, Milwaukee, WI 53214 Phone: 414-292-4242 Fax: 414-453-2538 |