| Aspire to Change Therapy, LLC | |
|
2800 E Enterprise Ave Ste 333 Appleton WI 54913-7889 | |
| (262) 228-8049 | |
| Not Available |
| Full Name | Aspire to Change Therapy, LLC |
|---|---|
| Speciality | Counselor |
| Location | 2800 E Enterprise Ave Ste 333, Appleton, Wisconsin |
| Authorized Official Name and Position | Markeena L Gilbert (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2622288049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire to Change Therapy, LLC 6508 S 27th St Ste 9 Pmb#107 Oak Creek WI 53154 Ph: (262) 228-8049 | Aspire to Change Therapy, LLC 2800 E Enterprise Ave Ste 333 Appleton WI 54913-7889 Ph: (262) 228-8049 |
| NPI Number | 1164267233 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 1153890884 |
|---|---|
| Medicare Enrollment ID | O20260512002256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164267233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Markeena Lanae Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922328368 PECOS PAC ID: 8224477963 Enrollment ID: I20240415002386 |
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