| Grace Counseling & Family Services S.c | |
|
121 S Adams St New Lisbon WI 53950-1205 | |
| (608) 562-3976 | |
| Not Available |
| Full Name | Grace Counseling & Family Services S.c |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 121 S Adams St, New Lisbon, Wisconsin |
| Authorized Official Name and Position | Holly Helmann (PRESIDENT) |
| Authorized Official Contact | 6088530564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling & Family Services S.c Po Box 17 New Lisbon WI 53950-0017 Ph: (608) 562-3976 | Grace Counseling & Family Services S.c 121 S Adams St New Lisbon WI 53950-1205 Ph: (608) 562-3976 |
| NPI Number | 1477178473 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 1951748078 |
|---|---|
| Medicare Enrollment ID | O20240326000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477178473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Holly Ann Helmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356636310 PECOS PAC ID: 2860839982 Enrollment ID: I20240326000654 |
| Provider Name | Macall Tourdot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447829262 PECOS PAC ID: 7810424710 Enrollment ID: I20241217000173 |
| Provider Name | Macall Tourdot |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447829262 PECOS PAC ID: 7810424710 Enrollment ID: I20241217001082 |