| Steps To Serenity | |
|
436 E Longview Dr Ste A Appleton WI 54911-2166 | |
| (920) 450-8002 | |
| Not Available |
| Full Name | Steps To Serenity |
|---|---|
| Speciality | Clinic/Center |
| Location | 436 E Longview Dr Ste A, Appleton, Wisconsin |
| Authorized Official Name and Position | Rebecca Kersten (LCSW) |
| Authorized Official Contact | 9204508002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steps To Serenity 436 E Longview Dr Ste A Appleton WI 54911-2166 Ph: (920) 450-8002 | Steps To Serenity 436 E Longview Dr Ste A Appleton WI 54911-2166 Ph: (920) 450-8002 |
| NPI Number | 1508551920 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 1759749963 |
|---|---|
| Medicare Enrollment ID | O20230621000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508551920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Kersten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407410418 PECOS PAC ID: 8921430729 Enrollment ID: I20191116000181 |
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