Organization
PORTIS MARRIAGE AND CHILDREN COUNSELING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE FAYE PORTIS-PATTERSON MSW, LPC (CLINICAL DIRECTOR/THERAPIST)
(262) 884-9734
Entity
Organization
Contact information
Practice address
5801 WASHINGTON AVE STE 103, RACINE, WI 53406-4057
(262) 884-9734
(262) 884-9735
Mailing address
5801 WASHINGTON AVE STE 110, RACINE, WI 53406-4057
(262) 884-9734
(262) 884-9735
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
947-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39228200
—
WI
Enumeration date
03/05/2008
Last updated
02/15/2011
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