| Ashley Hady, Llc | |
|
1126 Wisconsin Ave Boscobel WI 53805-1635 | |
| (608) 391-2434 | |
| Not Available |
| Full Name | Ashley Hady, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1126 Wisconsin Ave, Boscobel, Wisconsin |
| Authorized Official Name and Position | Ashley Hady (OWNER/PROVIDER) |
| Authorized Official Contact | 6083912434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Hady, Llc 406 Elm St Boscobel WI 53805-1216 Ph: (608) 391-2434 | Ashley Hady, Llc 1126 Wisconsin Ave Boscobel WI 53805-1635 Ph: (608) 391-2434 |
| NPI Number | 1306323803 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 0446509459 |
|---|---|
| Medicare Enrollment ID | O20180824001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306323803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8466-123 (Wisconsin) | Primary |
| Provider Name | Ashley R Hady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578974853 PECOS PAC ID: 7719284140 Enrollment ID: I20160329002206 |
Rebecca Miller Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Elm St, Boscobel, WI 53805 Phone: 608-391-2436 | |
Boscobel Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-4112 |