Organization
CHRISTIAN COMMUNITY RESOURCES, LLC
Active
Other names
Freedom Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LACE PSYD (PSYCHOLOGIST)
(715) 838-8898
Entity
Organization
Contact information
Practice address
2141 ALTOONA AVE, SUITE C, EAU CLAIRE, WI 54701-3429
(715) 552-7350
Mailing address
PO BOX 1426, EAU CLAIRE, WI 54702-1426
(715) 552-7350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39365600
—
WI
Enumeration date
07/23/2007
Last updated
07/23/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us