| New Growth Mental Health Counseling, Llc | |
|
5900 Monona Dr Ste 312 Monona WI 53716-3561 | |
| (800) 571-8211 | |
| (608) 299-3888 |
| Full Name | New Growth Mental Health Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5900 Monona Dr Ste 312, Monona, Wisconsin |
| Authorized Official Name and Position | Anne Erhardt (PARTNER) |
| Authorized Official Contact | 8005718211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Growth Mental Health Counseling, Llc 5900 Monona Dr Ste 312 Monona WI 53716-3561 Ph: (800) 571-8211 | New Growth Mental Health Counseling, Llc 5900 Monona Dr Ste 312 Monona WI 53716-3561 Ph: (800) 571-8211 |
| NPI Number | 1265946990 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 09/25/2018 |
| Medicare PECOS PAC ID | 5890044200 |
|---|---|
| Medicare Enrollment ID | O20190131002551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265946990 | NPI | - | NPPES |
| 100034468 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rachel M Kleibor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023211109 PECOS PAC ID: 0143578344 Enrollment ID: I20190131002915 |
| Provider Name | Susan A Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497268296 PECOS PAC ID: 7517204357 Enrollment ID: I20190425002796 |
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