Michelle Lavonne Floersch
Individual provider Active NPI Mental Health Counselor · Mauston, WI
NPI 1134898604 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1134898604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 124 Grayside Ave
Mauston, WI 53948-1913 - Phone
- (608) 433-5888
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
124 Grayside Ave
Mauston, WI 53948-1913
Mailing address
W4191 Schild Rd
West Salem, WI 54669-9525
Phone (608) 433-5888
Other names
- Michelle Lavonne Floersch Clow
Other providers in Mauston, WI
- Melanie R Feldman Gray
- Nickolas Daniel Fenn
- Kelly R. Firlus
- Kristen Fischer
- Karen J Fitzgerald
- Carol L Fogleson
- Emily Follendorf
- Andrew Forte
- Shelby Foss
- Jennifer Galloway
All providers in Mauston, WI · Mental Health 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 Sep 8, 2021. 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.