| Core Treatment Services, Inc. | |
|
3 Riverview Dr Manitowoc WI 54220-3767 | |
| (920) 645-1411 | |
| Not Available |
| Full Name | Core Treatment Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3 Riverview Dr, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Carmen Persaud (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9206631035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Treatment Services, Inc. Po Box 1823 Manitowoc WI 54221-1823 Ph: (920) 663-1035 | Core Treatment Services, Inc. 3 Riverview Dr Manitowoc WI 54220-3767 Ph: (920) 645-1411 |
| NPI Number | 1659912319 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 6608267430 |
|---|---|
| Medicare Enrollment ID | O20220105000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659912319 | NPI | - | NPPES |
| 100158506 | Medicaid | WI | |
| 100158503 | Medicaid | WI |
| Provider Name | Debra J Wentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164524237 PECOS PAC ID: 0840220778 Enrollment ID: I20050819000379 |
| Provider Name | Mary E Spaulding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023654829 PECOS PAC ID: 1658758164 Enrollment ID: I20220520002270 |
| Provider Name | Heather Marie Bruckschen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831609098 PECOS PAC ID: 0749633923 Enrollment ID: I20240124003898 |
| Provider Name | Rose Marie Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720662018 PECOS PAC ID: 4082059548 Enrollment ID: I20240224000096 |
| Provider Name | Trisha Renee Lund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952009391 PECOS PAC ID: 6800323825 Enrollment ID: I20250102001453 |
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Manitowoc Co Human Services Dept. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4908 | |
Wisconsin Lutheran Child & Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4045 Lancer Cir, Manitowoc, WI 54220 Phone: 800-438-1772 Fax: 262-293-9737 | |
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