| Stephanie Larson, | |
|
3120 Memorial Dr, Two Rivers, WI 54241-3229 | |
| (920) 657-1780 | |
| Not Available |
| Full Name | Stephanie Larson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 3120 Memorial Dr, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013482264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Phoenix Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871514778 PECOS PAC ID: 1456441153 Enrollment ID: O20071219000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Larson, 1499 Sixth Street, Green Bay, WI 54304 Ph: (920) 497-6161 | Stephanie Larson, 3120 Memorial Dr, Two Rivers, WI 54241-3229 Ph: (920) 657-1780 |
Toni L Lampe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784 |
Jason Jeffrey Hoyt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784 |
Amber Hutchison, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8523 Tannery Rd, Two Rivers, WI 54241 Phone: 920-320-9823 |
Mr. Aaron Weichart, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784 |
Ashley Derenne Hansen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 |
Mrs. Melissa V Rukamp, MACC, LPC-IT Counselor Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 Fax: 920-793-7430 |
Mrs. Susan Springstube, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 B Gardner St, Two Rivers, WI 54241 Phone: 920-629-2074 |