Organization Name: | BLUE HILLS COUNSELING LLC |
NPI Number: | 1265406227 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY M EFFERTZ (OWNER) |
Mailing Address: | 1035 N Main St Rice Lake |
State: | WI US |
Postal Code: | 548681260 |
Phone Number: | 7152344313 |
Fax Number: | 7157360194 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |