| Saris Counseling Llc | |
|
3416 Association Dr Appleton WI 54914 | |
| (920) 364-9078 | |
| (920) 243-1792 |
| Full Name | Saris Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3416 Association Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Brenda Lee Velissaris (OWNER) |
| Authorized Official Contact | 9203649078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saris Counseling Llc 3416 Association Dr Appleton WI 54914 Ph: (920) 364-9078 | Saris Counseling Llc 3416 Association Dr Appleton WI 54914 Ph: (920) 364-9078 |
| NPI Number | 1700018389 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 0840554424 |
|---|---|
| Medicare Enrollment ID | O20180507002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700018389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3876125 (Wisconsin) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3876125 (Wisconsin) | Secondary |
| Provider Name | Elizabeth L Kimbrough |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750366704 PECOS PAC ID: 7012916489 Enrollment ID: I20061212000484 |
| Provider Name | Becky Schmechel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780049882 PECOS PAC ID: 2567727043 Enrollment ID: I20180604002565 |
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