| Gateways Counseling Services, Inc | |
|
1905 S Central Ave Marshfield WI 54449 | |
| (715) 898-1665 | |
| (715) 898-1240 |
| Full Name | Gateways Counseling Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 S Central Ave, Marshfield, Wisconsin |
| Authorized Official Name and Position | Michelle Lynn Messick (DIRECTOR) |
| Authorized Official Contact | 7158981665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateways Counseling Services, Inc 1905 S Central Ave Marshfield WI 54449-4917 Ph: (715) 898-1665 | Gateways Counseling Services, Inc 1905 S Central Ave Marshfield WI 54449 Ph: (715) 898-1665 |
| NPI Number | 1811489206 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 9638407786 |
|---|---|
| Medicare Enrollment ID | O20190827002930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811489206 | NPI | - | NPPES |
| 100082541 | Medicaid | WI |
| Provider Name | David K Pelo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144409608 PECOS PAC ID: 6103983440 Enrollment ID: I20090331000548 |
| Provider Name | Barbara L Deberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710209770 PECOS PAC ID: 4486837366 Enrollment ID: I20110330000883 |
| Provider Name | Rabany Clayborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003163460 PECOS PAC ID: 6507161528 Enrollment ID: I20160229001305 |
| Provider Name | Dionna Lashaun Mcferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746443 PECOS PAC ID: 4789956996 Enrollment ID: I20170823002408 |
| Provider Name | Ruth A Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467770594 PECOS PAC ID: 9133474364 Enrollment ID: I20180612001934 |
| Provider Name | Tina Correen Brossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444694 PECOS PAC ID: 5294065843 Enrollment ID: I20190924002240 |
| Provider Name | Adam Sturdevant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457585614 PECOS PAC ID: 5092117523 Enrollment ID: I20210707000979 |
| Provider Name | Heather Heritage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770047839 PECOS PAC ID: 8820483761 Enrollment ID: I20220311001344 |
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