FULL POTENTIAL COACHING COUNSELING CONSULTING OF WI LLC NPI 1528507605

NPI Information

NPI: 1528507605
Provider Name: FULL POTENTIAL COACHING COUNSELING CONSULTING OF WI, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4710 E BROADWAY
SUITE 135
MADISON, WI
ZIP 53716
Phone: (608) 205-2294
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FULL POTENTIAL COACHING COUNSELING CONSULTING OF WI, LLC is an addiction (substance use disorder) counselor in Madison, WI. FULL POTENTIAL COACHING COUNSELING CONSULTING OF WI, LLC NPI is 1528507605. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4710 E BROADWAY
SUITE 135
MADISON, WI
ZIP 53716-103
Phone: (608) 205-2294
Fax: (608) 719-5033

The provider's authorized official is Ted Izydor .
The authorized official title is Owner and has the following contact phone number (608) 205-2294.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 2/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14034	WISCONSIN	Yes
2	101YP2500X	Counselor	Professional	2878	WISCONSIN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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