Emma Bemlott
Individual provider Active NPI Professional Counselor · Shell Lake, WI
NPI 1124800172 · NPPES record last updated Nov 17, 2024
Key facts
- NPI
- 1124800172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 8212-226 (WI)
- Practice address
- 600 E County Highway B
Shell Lake, WI 54871-8754 - Phone
- (715) 468-2841
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8212-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Services, Inc. | Current |
Accepting new patients |
Locations
3712 Tower Ave
Ste C
Superior, WI 54880
Phone (218) 355-8388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8212-226 | WI | Yes |
Addresses
Primary practice location
600 E County Highway B
Shell Lake, WI 54871-8754
Mailing address
2121 Hughitt Ave
Superior, WI 54880-4916
Phone (218) 220-9230
Other providers in Shell Lake, WI
- Joel Fordyce Anderson
- Mary Ellen Anderson
- Angelcare Medicine, LLC
- Peggy Sue Blake-Vogt
- Caitlyn Joy Bolen
- Linda M. Casey
- David Juston Colvin
- Bethany Curtis
All providers in Shell Lake, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.