Four Winds Counseling Llc | |
437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 | |
(608) 516-1734 | |
Not Available |
Full Name | Four Winds Counseling Llc |
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Speciality | Counselor |
Location | 437 S Yellowstone Dr Ste 219, Madison, Wisconsin |
Authorized Official Name and Position | Sue Moran (DIRECTOR) |
Authorized Official Contact | 6085161734 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Four Winds Counseling Llc 437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 Ph: (608) 516-1734 | Four Winds Counseling Llc 437 S Yellowstone Dr Ste 219 Madison WI 53719-1061 Ph: (608) 516-1734 |
NPI Number | 1649958091 |
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Provider Enumeration Date | 07/06/2023 |
Last Update Date | 07/06/2023 |
Certification Date | 07/06/2023 |
Medicare PECOS PAC ID | 1850747270 |
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Medicare Enrollment ID | O20231020002806 |
Identifier | Type | State | Issuer |
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1649958091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Judith C Parkes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962626473 PECOS PAC ID: 0547496671 Enrollment ID: I20131120001422 |
Provider Name | Suzanne Moran |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528115805 PECOS PAC ID: 5496101826 Enrollment ID: I20240116002696 |
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