| Mary Ellen Miller, Ms, Lpc, Llc | |
|
W10445 State Road 16 Lot 21 Portage WI 53901-9488 | |
| (608) 617-8419 | |
| Not Available |
| Full Name | Mary Ellen Miller, Ms, Lpc, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W10445 State Road 16 Lot 21, Portage, Wisconsin |
| Authorized Official Name and Position | Mary Ellen Ellen Miller Ms Miller (DIRECTOR) |
| Authorized Official Contact | 6086178419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Miller, Ms, Lpc, Llc W10445 State Road 16 Lot 21 Portage WI 53901-9488 Ph: (608) 617-8419 | Mary Ellen Miller, Ms, Lpc, Llc W10445 State Road 16 Lot 21 Portage WI 53901-9488 Ph: (608) 617-8419 |
| NPI Number | 1518762756 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518762756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Compass Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1508 New Pinery Rd, Portage, WI 53901 Phone: 608-745-4900 Fax: 608-745-4990 | |
Journey Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 E Wisconsin St, Portage, WI 53901 Phone: 608-280-2700 | |
Columbia County Hhsd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Mullett St, Portage, WI 53901 Phone: 608-742-9227 Fax: 608-742-9700 | |
Aspen Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 | |
Columbia County Hhsd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Mullett St, Portage, WI 53901 Phone: 608-742-9227 Fax: 608-742-9700 | |
Columbia County Hhsd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Mullett St, Portage, WI 53901 Phone: 608-742-9227 Fax: 608-742-9700 |