| Fresh Approach Llc | |
|
8848 Sarah B Ln Ste A Woodruff WI 54568-9330 | |
| (715) 439-4144 | |
| Not Available |
| Full Name | Fresh Approach Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8848 Sarah B Ln Ste A, Woodruff, Wisconsin |
| Authorized Official Name and Position | Tiffany Cummings (OWNER) |
| Authorized Official Contact | 7154394144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Approach Llc 8848 Sarah B Ln Ste A Woodruff WI 54568-9330 Ph: (715) 439-4144 | Fresh Approach Llc 8848 Sarah B Ln Ste A Woodruff WI 54568-9330 Ph: (715) 439-4144 |
| NPI Number | 1396468336 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 9436525300 |
|---|---|
| Medicare Enrollment ID | O20221018000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396468336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tiffany A Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528498516 PECOS PAC ID: 7416184809 Enrollment ID: I20131210000877 |
Majestic Counseling And Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Elm St, Woodruff, WI 54568 Phone: 715-439-4377 |