| Couch Counseling Llc | |
|
830 N 109th St Wauwatosa WI 53226-3754 | |
| (414) 865-1305 | |
| Not Available |
| Full Name | Couch Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 830 N 109th St, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Sarah J. Couch (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4148651305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Couch Counseling Llc 830 N 109th St Wauwatosa WI 53226-3754 Ph: (414) 865-1305 | Couch Counseling Llc 830 N 109th St Wauwatosa WI 53226-3754 Ph: (414) 865-1305 |
| NPI Number | 1770353179 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 5698128585 |
|---|---|
| Medicare Enrollment ID | O20240126002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770353179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sarah Jane Couch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942778113 PECOS PAC ID: 7416300306 Enrollment ID: I20240126002458 |
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