| Impact Counseling Services, Llc | |
|
15655 County Road B Hayward WI 54843-3251 | |
| (715) 634-0607 | |
| Not Available |
| Full Name | Impact Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 15655 County Road B, Hayward, Wisconsin |
| Authorized Official Name and Position | Renee M Millwood (DIRECTOR) |
| Authorized Official Contact | 7156340607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling Services, Llc 15655 County Road B Po Box 13251 Hayward WI 54843-3251 Ph: (715) 634-0607 | Impact Counseling Services, Llc 15655 County Road B Hayward WI 54843-3251 Ph: (715) 634-0607 |
| NPI Number | 1437323680 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437323680 | NPI | - | NPPES |
| 43005300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 43005300 (Wisconsin) | Primary |
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Lac Courte Oreilles Community Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9940 N County Hwy K, Hayward, WI 54843 Phone: 715-638-5169 | |
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Lac Courte Oreilles Comprehensive Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9940 N County Hwy K, Hayward, WI 54843 Phone: 715-638-5169 | |
Superior Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10592 Main St, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091 | |
Impact Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15655 County Road B, Hayward, WI 54843 Phone: 715-634-0607 Fax: 715-634-0617 |