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Contact Information

PHOENIX COUNSELING, LTD
1500 WEST MAIN STREET
SUITE 300
SUN PRAIRIE, WI53590
 Phone: 608-825-6711
 Fax: 608-834-6499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PHOENIX COUNSELING, LTD

NPI Number 1235263427
LBN Legal business name PHOENIX COUNSELING, LTD
Authorized official DAVID KUYKENDALL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2007
Last updated 09/04/2007 - About 19 years ago
Identifiers
WI License # 621
WI Medicaid 42226100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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