| Western Region Recovery & Wellness Consortia | |
|
110 4th Ave W Shell Lake WI 54871-0250 | |
| (715) 468-4747 | |
| (715) 468-4753 |
| Full Name | Western Region Recovery & Wellness Consortia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 4th Ave W, Shell Lake, Wisconsin |
| Authorized Official Name and Position | Ashley Bailey (FISCAL MANAGER) |
| Authorized Official Contact | 7157267788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Region Recovery & Wellness Consortia 711 N Bridge St Room 305 Chippewa Falls WI 54729-1845 Ph: (715) 726-7788 | Western Region Recovery & Wellness Consortia 110 4th Ave W Shell Lake WI 54871-0250 Ph: (715) 468-4747 |
| NPI Number | 1467997502 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 12/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467997502 | NPI | - | NPPES |
| 3065 | Other | WI | STATE OF WISCONSIN CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3065 (Wisconsin) | Primary |
Washburn County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 4th Ave W, Shell Lake, WI 54871 Phone: 715-468-4747 Fax: 715-468-4753 | |
Soar Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841 Fax: 715-468-2374 | |
Washburn County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 4th Ave W, Shell Lake, WI 54871 Phone: 715-468-4747 Fax: 715-468-4753 |