| Mindful Rejuvenation Mental Health Counseling Llc | |
|
11431 N Port Washington Rd Ste 207 Mequon WI 53092-3462 | |
| (262) 668-7864 | |
| Not Available |
| Full Name | Mindful Rejuvenation Mental Health Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 11431 N Port Washington Rd Ste 207, Mequon, Wisconsin |
| Authorized Official Name and Position | Rachel Gerber (OWNER) |
| Authorized Official Contact | 2626687864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Rejuvenation Mental Health Counseling Llc 11431 N Port Washington Rd Ste 207 Mequon WI 53092-3462 Ph: () - | Mindful Rejuvenation Mental Health Counseling Llc 11431 N Port Washington Rd Ste 207 Mequon WI 53092-3462 Ph: (262) 668-7864 |
| NPI Number | 1356146419 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 7416477039 |
|---|---|
| Medicare Enrollment ID | O20250225003490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356146419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rachel Gerber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043822638 PECOS PAC ID: 1254851876 Enrollment ID: I20250225003394 |
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