| Forward Choices, Llc | |
|
6040 W Lisbon Ave Ste 103 Milwaukee WI 53210-2116 | |
| (414) 442-1751 | |
| (414) 442-1775 |
| Full Name | Forward Choices, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6040 W Lisbon Ave Ste 103, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Michael Leo Wallner (OWNER) |
| Authorized Official Contact | 4144421751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Choices, Llc 140 N Hine Ave Waukesha WI 53188-4316 Ph: (414) 442-1751 | Forward Choices, Llc 6040 W Lisbon Ave Ste 103 Milwaukee WI 53210-2116 Ph: (414) 442-1751 |
| NPI Number | 1275791485 |
|---|---|
| Provider Enumeration Date | 05/26/2008 |
| Last Update Date | 11/10/2011 |
| Medicare PECOS PAC ID | 6204016959 |
|---|---|
| Medicare Enrollment ID | O20110211000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275791485 | NPI | - | NPPES |
| 2785 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3935-125 (Wisconsin) | Primary |
| Provider Name | Jennifer L Stagg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609906015 PECOS PAC ID: 3678809555 Enrollment ID: I20190730003811 |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
Milwaukee Health Service Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Foundation, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |