| Kosha Connect, Llc | |
|
2171 S Sanctuary Dr New Berlin WI 53151-1922 | |
| (414) 248-0269 | |
| Not Available |
| Full Name | Kosha Connect, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2171 S Sanctuary Dr, New Berlin, Wisconsin |
| Authorized Official Name and Position | Kristen Yielding (OWNER) |
| Authorized Official Contact | 4142480269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kosha Connect, Llc 2171 S Sanctuary Dr New Berlin WI 53151-1922 Ph: () - | Kosha Connect, Llc 2171 S Sanctuary Dr New Berlin WI 53151-1922 Ph: (414) 248-0269 |
| NPI Number | 1083508691 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083508691 | NPI | - | NPPES |
| 1710706213 | Medicaid | WI |
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