| Natural Wisdom Counseling Llc | |
|
1523 Wi-78 Trunk Mount Horeb WI 53572 | |
| (701) 870-0022 | |
| Not Available |
| Full Name | Natural Wisdom Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1523 Wi-78 Trunk, Mount Horeb, Wisconsin |
| Authorized Official Name and Position | Jessica Dallman (OWNER) |
| Authorized Official Contact | 7018700022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natural Wisdom Counseling Llc 1523 Wi-78 Trunk Mount Horeb WI 53572 Ph: (701) 870-0022 | Natural Wisdom Counseling Llc 1523 Wi-78 Trunk Mount Horeb WI 53572 Ph: (701) 870-0022 |
| NPI Number | 1811509979 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Medicare PECOS PAC ID | 4587191507 |
|---|---|
| Medicare Enrollment ID | O20250102001627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811509979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica Dallman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780059238 PECOS PAC ID: 6709292600 Enrollment ID: I20250102001605 |
Natural Elements Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N 4th St, Mount Horeb, WI 53572 Phone: 608-571-2526 |