| Stephanie Lynn White Eagle, MFT,CSAC | |
|
S2845 White Eagle Rd, Baraboo, WI 53913-9064 | |
| (608) 355-1240 | |
| (608) 356-7152 |
| Full Name | Stephanie Lynn White Eagle |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | S2845 White Eagle Rd, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184957334 | NPI | - | NPPES |
| 1184957334 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11480-132 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1258-124 (Wisconsin) | Primary |
| Entity Name | Community Service Associates, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lynn White Eagle, MFT,CSAC S2845 White Eagle Rd, Baraboo, WI 53913-9064 Ph: (608) 355-1240 | Stephanie Lynn White Eagle, MFT,CSAC S2845 White Eagle Rd, Baraboo, WI 53913-9064 Ph: (608) 355-1240 |
Ms. Natalie M Raynes, LMFT - IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1002 Lincoln Ave, Baraboo, WI 53913 Phone: 608-356-9055 Fax: 608-268-9780 | |
Christopher Sommerfield, Couples Therapy Medicare: Medicare Enrolled Practice Location: 908 8th St Ste 2, Baraboo, WI 53913 Phone: 608-477-1484 Fax: 608-856-1260 | |
Heather Renee Haas, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 | |
Annette Rae Hibner, LMFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 8th St Ste 3, Baraboo, WI 53913 Phone: 608-448-2497 Fax: 608-448-2865 | |
Amy Bendorf Schertz, MS LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1002 Lincoln Ave, Baraboo, WI 53913 Phone: 608-356-9055 Fax: 608-356-5447 |