| Mary Beth King Counseling & Consulting Llc | |
|
1345 W Mason St Ste 116 Green Bay WI 54303-2049 | |
| (920) 857-1080 | |
| (920) 857-1084 |
| Full Name | Mary Beth King Counseling & Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1345 W Mason St Ste 116, Green Bay, Wisconsin |
| Authorized Official Name and Position | Mary Beth King (OWNER) |
| Authorized Official Contact | 9208571080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth King Counseling & Consulting Llc 1345 W Mason St Ste 116 Green Bay WI 54303-2049 Ph: (920) 857-1080 | Mary Beth King Counseling & Consulting Llc 1345 W Mason St Ste 116 Green Bay WI 54303-2049 Ph: (920) 857-1080 |
| NPI Number | 1598473316 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 12/26/2022 |
| Certification Date | 12/26/2022 |
| Medicare PECOS PAC ID | 1456722586 |
|---|---|
| Medicare Enrollment ID | O20230126003304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598473316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Beth King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326377359 PECOS PAC ID: 6507035409 Enrollment ID: I20110810000600 |
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