Organization
PATCHWORK COUNSELING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA COSTE LCSW (OWNER)
(262) 470-5811
Entity
Organization
Contact information
Practice address
12425 KNOLL RD STE 110, ELM GROVE, WI 53122-2656
(414) 775-8107
Mailing address
12425 KNOLL RD STE 110, ELM GROVE, WI 53122-2656
(414) 775-8107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
06/04/2024
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