Penny Lynn Bearheart, LPC, SAC | |
235 E State St, Saint Croix Falls, WI 54024-4117 | |
(715) 483-3221 | |
(715) 483-0507 |
Full Name | Penny Lynn Bearheart |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 235 E State St, Saint Croix Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881171601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16393-131 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 8520-125 (Wisconsin) | Primary |
Entity Name | The Lakes Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Penny Lynn Bearheart, LPC, SAC 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | Penny Lynn Bearheart, LPC, SAC 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Marcelle N Dodge, LCSW, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Melanie Lynn Creger, MA, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Stephanie A Wilson, MS,CSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 S Washington St, Suite 110, Saint Croix Falls, WI 54024 Phone: 715-246-4840 Fax: 715-246-4108 | |
Abigail Kathleen Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Washington St, Saint Croix Falls, WI 54024 Phone: 716-961-1055 | |
Kristie Lervick, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 St Croix Lofts Dr, 101, Saint Croix Falls, WI 54024 Phone: 952-836-5473 | |
Tammy Breault, Counselor Medicare: Medicare Enrolled Practice Location: 2367 Beede Lake Trl, Saint Croix Falls, WI 54024 Phone: 715-553-0159 |