| Tjzarn Ventures Llc | |
|
215 Main St Ste 205 Balsam Lake WI 54810-7264 | |
| (715) 256-7559 | |
| (877) 869-0712 |
| Full Name | Tjzarn Ventures Llc |
|---|---|
| Speciality | Counselor |
| Location | 215 Main St Ste 205, Balsam Lake, Wisconsin |
| Authorized Official Name and Position | Becky Peterson (OFFICE MANAGER) |
| Authorized Official Contact | 7152567559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tjzarn Ventures Llc Po Box 105 Balsam Lake WI 54810-0105 Ph: (715) 256-7559 | Tjzarn Ventures Llc 215 Main St Ste 205 Balsam Lake WI 54810-7264 Ph: (715) 256-7559 |
| NPI Number | 1063278174 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 1355887373 |
|---|---|
| Medicare Enrollment ID | O20240725002180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063278174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tammy Jo Zarn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932439577 PECOS PAC ID: 4486190402 Enrollment ID: I20240725002463 |
Western Region Recovery & Wellness Consortia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz Ste 50, Balsam Lake, WI 54810 Phone: 715-485-8400 Fax: 715-485-8490 |