| Center Of Being Llc | |
|
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 | |
| (262) 335-4456 | |
| Not Available |
| Full Name | Center Of Being Llc |
|---|---|
| Speciality | Counselor |
| Location | 11414 W Park Pl Ste 202, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Carmen Regina Klenner (OWNER) |
| Authorized Official Contact | 2623554456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Being Llc 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (262) 355-4456 | Center Of Being Llc 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (262) 335-4456 |
| NPI Number | 1316759228 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 5496285710 |
|---|---|
| Medicare Enrollment ID | O20250214002922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316759228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carmen Regina Klenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609367853 PECOS PAC ID: 8325489446 Enrollment ID: I20240507003009 |
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