Organization
VELVAERE MENTAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA M ELLINGWORTH MS,LPC,SAC,ICS (OWNER/OFFICE MANAGER/CLINICAL SUPER)
(608) 695-0960
Entity
Organization
Contact information
Practice address
100 BUSINESS PARK CIR STE 202, STOUGHTON, WI 53589-5501
(608) 205-8308
(608) 719-3418
Mailing address
100 BUSINESS PARK CIR STE 202, STOUGHTON, WI 53589-5501
(608) 205-8308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
05/29/2024
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