| Matters Of The Spirit Llc | |
|
12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 | |
| (262) 432-0670 | |
| (262) 475-0412 |
| Full Name | Matters Of The Spirit Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12645 W Burleigh Rd Ste 19, Brookfield, Wisconsin |
| Authorized Official Name and Position | Tina Sanford (DIRECTOR) |
| Authorized Official Contact | 2624320670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matters Of The Spirit Llc 12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 Ph: (262) 432-0670 | Matters Of The Spirit Llc 12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 Ph: (262) 432-0670 |
| NPI Number | 1649661711 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 7810231727 |
|---|---|
| Medicare Enrollment ID | O20181204001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Edward G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700062155 PECOS PAC ID: 8921179979 Enrollment ID: I20080618000448 |
| Provider Name | Gerald E Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760683551 PECOS PAC ID: 8123258001 Enrollment ID: I20140310001640 |
| Provider Name | Tina Sanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578018263 PECOS PAC ID: 9436499209 Enrollment ID: I20250122000800 |
Christian Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008 Fax: 262-432-9059 | |
Wellbrook Recovery Brookfield Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13850 West Capitol Drive Wellbrook Recovery, Brookfield, WI 53005 Phone: 414-867-9579 Fax: 414-409-5150 | |
Cornerstone Counseling Services, Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005 Phone: 262-789-1191 Fax: 262-821-6180 | |
Dbt Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 Phone: 414-305-6588 | |
The Anxiety Center Acquisition, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15850 W Bluemound Rd Ste 208, Brookfield, WI 53005 Phone: 262-719-5898 Fax: 262-641-9040 | |
Trueblood Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-222-2882 Fax: 414-431-6018 | |
Gorecki Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-546-7478 Fax: 262-373-0362 |