| Collective Counseling And Consultation, Llc | |
|
15400 W Capitol Dr Ste 105 Brookfield WI 53005-2661 | |
| (414) 367-9155 | |
| Not Available |
| Full Name | Collective Counseling And Consultation, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15400 W Capitol Dr Ste 105, Brookfield, Wisconsin |
| Authorized Official Name and Position | Vanessa Minor (OWNER) |
| Authorized Official Contact | 4143679155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Counseling And Consultation, Llc 15400 W Capitol Dr Ste 105 Brookfield WI 53005-2661 Ph: (414) 367-9155 | Collective Counseling And Consultation, Llc 15400 W Capitol Dr Ste 105 Brookfield WI 53005-2661 Ph: (414) 367-9155 |
| NPI Number | 1558022970 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 06/27/2025 |
| Certification Date | 06/27/2025 |
| Medicare PECOS PAC ID | 4880067792 |
|---|---|
| Medicare Enrollment ID | O20230223001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558022970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Barbara A Bartlein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477668937 PECOS PAC ID: 9931358637 Enrollment ID: I20121011000931 |
| Provider Name | Kelly L Kuehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366740649 PECOS PAC ID: 9335485515 Enrollment ID: I20190109000144 |
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