| Mr Bryan James Peacock, LPC | |
|
11904 W North Ave, Suite # 110, Wauwatosa, WI 53226-2062 | |
| (414) 248-4347 | |
| Not Available |
| Full Name | Mr Bryan James Peacock |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 11904 W North Ave, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780819797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3957-125 (Wisconsin) | Primary |
| Entity Name | New Life Resources Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225061997 PECOS PAC ID: 4284640830 Enrollment ID: O20060306000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan James Peacock, LPC N67w24937 Stonegate Ct, #203, Sussex, WI 53089-2585 Ph: (414) 840-7247 | Mr Bryan James Peacock, LPC 11904 W North Ave, Suite # 110, Wauwatosa, WI 53226-2062 Ph: (414) 248-4347 |
Dr. Tiffany Marie Prather, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave, Wauwatosa, WI 53222 Phone: 414-358-7999 Fax: 414-358-7158 |
Sarah Schelble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7954 Harwood Ave Ste 40, Wauwatosa, WI 53213 Phone: 414-573-6891 |
Lindsay Maruszewski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10425 W North Ave Ste 236, Wauwatosa, WI 53226 Phone: 414-509-0029 Fax: 414-296-8859 |
Natasha Eve Hirte, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 830 N 109th St Ste 1, Wauwatosa, WI 53226 Phone: 608-535-9453 Fax: 414-348-1918 |
Julia Kristin Crivello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226 Phone: 414-939-9390 Fax: 414-939-9383 |
Michael Richard Kiel, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3636 N 124th St Ste 300, Wauwatosa, WI 53222 Phone: 414-476-9755 |
Jacqueline Griselle Lindo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave Ste 221, Wauwatosa, WI 53222 Phone: 414-358-7144 Fax: 414-358-7158 |