Velvaere Mental Health Clinic, LLC

NPI #1770346702 in Stoughton, Wisconsin

Provider Information

NPI Number: 1770346702
Entity Type: Organization
Organization Name: Velvaere Mental Health Clinic, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 1, 2024
Last Updated: May 29, 2024

Practice Location

Address: 100 BUSINESS PARK CIR STE 202
City: Stoughton
State: Wisconsin
ZIP Code: 53589-5501
Phone: (608) 205-8308

Authorized Official

Name: VERONICA M ELLINGWORTH, MS,LPC,SAC,ICS
Title: OWNER/OFFICE MANAGER/CLINICAL SUPER
Phone: (608) 695-0960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Marriage & Family Therapist	106H00000X
Counselor - Professional — Professional	101YP2500X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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