| Peace Of Mind Wellness | |
|
712 Summit Ave Ste 714 Oconomowoc WI 53066-3827 | |
| (262) 262-2006 | |
| (262) 226-2462 |
| Full Name | Peace Of Mind Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 712 Summit Ave Ste 714, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Amanda Donath (OWNER) |
| Authorized Official Contact | 2622262006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Wellness 712 Summit Ave Ste 714 Oconomowoc WI 53066-3827 Ph: (262) 262-2006 | Peace Of Mind Wellness 712 Summit Ave Ste 714 Oconomowoc WI 53066-3827 Ph: (262) 262-2006 |
| NPI Number | 1356961775 |
|---|---|
| Provider Enumeration Date | 04/26/2020 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 6406248822 |
|---|---|
| Medicare Enrollment ID | O20220116000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356961775 | NPI | - | NPPES |
| Provider Name | David A Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194835355 PECOS PAC ID: 0446228829 Enrollment ID: I20040923000157 |
| Provider Name | Michelle Louise Leverence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538509690 PECOS PAC ID: 3678925781 Enrollment ID: I20240113000509 |
| Provider Name | Audra C Hoffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083152516 PECOS PAC ID: 7315399474 Enrollment ID: I20240115000826 |
| Provider Name | Amanda M Donath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043611205 PECOS PAC ID: 7214329630 Enrollment ID: I20240115001227 |
| Provider Name | Ryan Christian Parys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336348077 PECOS PAC ID: 0547612574 Enrollment ID: I20240116001308 |
| Provider Name | Brigid Ann Wollersheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255105425 PECOS PAC ID: 8325490105 Enrollment ID: I20240117002104 |
| Provider Name | Leah A Witthuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992485296 PECOS PAC ID: 3870945496 Enrollment ID: I20240119000927 |
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