| Poynette Counseling & Psychotherapy Assoc | |
|
415 N Main St Ste 3 Poynette WI 53955-8963 | |
| (608) 635-2146 | |
| (608) 635-7379 |
| Full Name | Poynette Counseling & Psychotherapy Assoc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 415 N Main St Ste 3, Poynette, Wisconsin |
| Authorized Official Name and Position | Lorie A Goeser (OWNER) |
| Authorized Official Contact | 6086352146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poynette Counseling & Psychotherapy Assoc 415 N Main St Ste 3 Poynette WI 53955-8963 Ph: (608) 635-2146 | Poynette Counseling & Psychotherapy Assoc 415 N Main St Ste 3 Poynette WI 53955-8963 Ph: (608) 635-2146 |
| NPI Number | 1316190010 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316190010 | NPI | - | NPPES |
| 42149300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1169-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2017-123 (Wisconsin) | Primary |
Corazon Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Main St, Poynette, WI 53955 Phone: 608-604-8609 | |
Haag Mental Health Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 N Main St, Suite 3, Poynette, WI 53955 Phone: 605-635-2146 |