| Adaptive Counseling Llc | |
|
2211 Oregon St Ste A-2 Oshkosh WI 54902-7001 | |
| (920) 410-7364 | |
| (920) 230-2898 |
| Full Name | Adaptive Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2211 Oregon St Ste A-2, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Paula F. Harry (PROVIDER) |
| Authorized Official Contact | 9204107364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptive Counseling Llc 2211 Oregon St Ste A-2 Oshkosh WI 54902-7001 Ph: (920) 410-7362 | Adaptive Counseling Llc 2211 Oregon St Ste A-2 Oshkosh WI 54902-7001 Ph: (920) 410-7364 |
| NPI Number | 1295130276 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 3476876053 |
|---|---|
| Medicare Enrollment ID | O20150107000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295130276 | NPI | - | NPPES |
| 39655100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1809-123 (Wisconsin) | Primary |
| Provider Name | Paula Frances Harry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528169034 PECOS PAC ID: 4385967967 Enrollment ID: I20150113000150 |
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