MEDICARE: BEST SELF COUNSELING CENTER LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1568053874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST SELF COUNSELING CENTER LLP

Provider Business Mailing Address
First Line	:	127 N FRANKLIN ST STE 207
Second Line	:
City	:	PORT WASHINGTON
State	:	WI
Zip	:	53074-1948
Country	:	US
Telephone Number	:	262-235-4385
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 N FRANKLIN ST STE 207
Second Line	:
City	:	PORT WASHINGTON
State	:	WI
Zip	:	53074-1948
Country	:	US
Telephone Number	:	920-602-1634
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	ASHLEY SCHMITZ
Credential	:
Telephone Number	:	262-235-4385

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	02/13/2023

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