| Northland Counseling Services Ltd | |
|
10045 N State Road 27 Hayward WI 54843-3525 | |
| (715) 373-0160 | |
| (715) 373-0162 |
| Full Name | Northland Counseling Services Ltd |
|---|---|
| Speciality | Counselor |
| Location | 10045 N State Road 27, Hayward, Wisconsin |
| Authorized Official Name and Position | Carol A Lund (PRESIDENT) |
| Authorized Official Contact | 7153730160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Counseling Services Ltd 10045 North State Rd 27 Po Box 1062 Hayward WI 54843-1062 Ph: (715) 373-0160 | Northland Counseling Services Ltd 10045 N State Road 27 Hayward WI 54843-3525 Ph: (715) 373-0160 |
| NPI Number | 1124246095 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/24/2008 |
| Medicare PECOS PAC ID | 0446415111 |
|---|---|
| Medicare Enrollment ID | O20120702000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124246095 | NPI | - | NPPES |
| 42216500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3794 (Wisconsin) | Primary |
| Provider Name | Theresa M Hintze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942585823 PECOS PAC ID: 9436438249 Enrollment ID: I20161118001936 |
| Provider Name | Teri L Nugent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477806313 PECOS PAC ID: 8527348069 Enrollment ID: I20161129002163 |
County Of Sawyer Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10610 Main St Ste 224, Hayward, WI 54843 Phone: 715-638-3434 Fax: 715-634-5387 | |
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