| Central Wisconsin Mental Health Associates, Sc | |
|
1699 Scholfield Avenue Suite 119/120 Schofield WI 54476-5494 | |
| (715) 212-6209 | |
| Not Available |
| Full Name | Central Wisconsin Mental Health Associates, Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1699 Scholfield Avenue Suite 119/120, Schofield, Wisconsin |
| Authorized Official Name and Position | Michelle Hazuka (CO-OWNER) |
| Authorized Official Contact | 7152126209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Wisconsin Mental Health Associates, Sc 1699 Schofield Ave Ste 119120 Schofield WI 54476-2338 Ph: (715) 212-6209 | Central Wisconsin Mental Health Associates, Sc 1699 Scholfield Avenue Suite 119/120 Schofield WI 54476-5494 Ph: (715) 212-6209 |
| NPI Number | 1174279533 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 7012437510 |
|---|---|
| Medicare Enrollment ID | O20250227002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174279533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy L Marcott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952421117 PECOS PAC ID: 7810929122 Enrollment ID: I20250228000519 |
| Provider Name | Alison Robin Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124774955 PECOS PAC ID: 2860912227 Enrollment ID: I20250228000869 |
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