| Organization Name: | PHOENIX COUNSELING, LTD |
| NPI Number: | 1235263427 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID A KUYKENDALL (DIRECTOR) |
| Mailing Address: | 1500 West Main Street Suite 300 Sun Prairie |
| State: | WI US |
| Postal Code: | 53590 |
| Phone Number: | 6088256711 |
| Fax Number: | 6088346499 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 09/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |