| Shea Counseling Llc | |
|
1605 Bluebird Ct Neenah WI 54956-1991 | |
| (208) 553-0918 | |
| Not Available |
| Full Name | Shea Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1605 Bluebird Ct, Neenah, Wisconsin |
| Authorized Official Name and Position | Julie Shea (OWNER) |
| Authorized Official Contact | 2085530918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shea Counseling Llc 1605 Bluebird Ct Neenah WI 54956-1991 Ph: (208) 553-0918 | Shea Counseling Llc 1605 Bluebird Ct Neenah WI 54956-1991 Ph: (208) 553-0918 |
| NPI Number | 1992410997 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/14/2023 |
| Medicare PECOS PAC ID | 3173978459 |
|---|---|
| Medicare Enrollment ID | O20231005001947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992410997 | NPI | - | NPPES |
| 1952840563 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie M. Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952840563 PECOS PAC ID: 4082069364 Enrollment ID: I20231005002055 |
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