| Kenosha Mental Health Walk-in Clinic | |
|
6809 122nd Ave Kenosha WI 53142-7335 | |
| (262) 891-6575 | |
| (262) 654-5467 |
| Full Name | Kenosha Mental Health Walk-in Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6809 122nd Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Sheila Reuteman (SR. CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4142667615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenosha Mental Health Walk-in Clinic 9000 W Wisconsin Ave # Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Kenosha Mental Health Walk-in Clinic 6809 122nd Ave Kenosha WI 53142-7335 Ph: (262) 891-6575 |
| NPI Number | 1245017201 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245017201 | NPI | - | NPPES |
| 1245017201 | Medicaid | WI |
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