Organization
NORTHWEST JOURNEY - ELLSWORTH
Active
Parent organization
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST COUNSELING AND GUIDANCE CLINIC
Authorized official
MR. NICK KALAMBOKIDIS (CFO)
(715) 327-4402
Entity
Organization
Contact information
Practice address
N6096 530TH ST, ELLSWORTH, WI 54011-5107
(715) 273-0203
(715) 273-0344
Mailing address
N6096 530TH ST, ELLSWORTH, WI 54011-5107
(715) 273-0203
(715) 273-0344
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306965033
HUMANA
WI
01
—
42626
HEALTH PARTNERS
MN
05
—
43006700
—
WI
01
—
7H956NO
BCBS OF MN
MN
01
—
85575
PREFERRED ONE
MN
Enumeration date
03/27/2007
Last updated
09/23/2010
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