| Red Feather Therapy And Consulting, Llc | |
|
2920 East Avenue South Suite 101 Red Feather Therapy And Consulting, Llc Lacrosse WI 54601-4925 | |
| (608) 784-8688 | |
| (608) 784-8686 |
| Full Name | Red Feather Therapy And Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 East Avenue South Suite 101, Lacrosse, Wisconsin |
| Authorized Official Name and Position | John Robert Streyle (CEO - CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6087385261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Feather Therapy And Consulting, Llc 320 17th St S Red Feather Therapy And Consulting, Llc Lacrosse WI 54601-4925 Ph: (608) 738-5261 | Red Feather Therapy And Consulting, Llc 2920 East Avenue South Suite 101 Red Feather Therapy And Consulting, Llc Lacrosse WI 54601-4925 Ph: (608) 784-8688 |
| NPI Number | 1588956346 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Medicare PECOS PAC ID | 8426235532 |
|---|---|
| Medicare Enrollment ID | O20110526000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588956346 | NPI | - | NPPES |
| 1881690386 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2363-123 (Wisconsin) | Primary |
| Provider Name | John Robert Streyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881690386 PECOS PAC ID: 9335326446 Enrollment ID: I20110526000584 |
Changes And Choices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 South Avenue, Suite 102, Lacrosse, WI 54601 Phone: 608-787-6645 Fax: 608-787-6658 | |
Human Development Associates Of Lacrosse Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S, Suite 101, Lacrosse, WI 54601 Phone: 608-784-8688 Fax: 608-784-8684 | |
Nystrom & Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Main St, Ste 500, Lacrosse, WI 54601 Phone: 651-379-1750 Fax: 651-628-0411 |