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REACHING YOUR POTENTIAL LLC NPI 1255661120


NPI Information

NPI: 1255661120
Provider Name: REACHING YOUR POTENTIAL, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2515 SMITH VALLEY RD
LA CROSSE, WI
ZIP 54601
Phone: (608) 769-6619
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REACHING YOUR POTENTIAL, LLC is a community behavioral health in La Crosse, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. REACHING YOUR POTENTIAL, LLC NPI is 1255661120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2515 SMITH VALLEY RD
LA CROSSE, WI
ZIP 54601-941
Phone: (608) 769-6619
Fax: (608) 788-1974

The provider's authorized official is Karen L. Corona-londre .
The authorized official title is Licensed Psychologist/co-owner and has the following contact phone number (608) 769-6619.

The enumeration date for this NPI number is 12/28/2009 and was last updated on 11/22/2016.


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
1103K00000XBehavior AnalystNo
2103T00000XPsychologistNo
3251S00000XCommunity/Behavioral Health2328-57WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139133600MEDICAIDWISCONSIN
2134-140OTHERWISCONSINLICENSURES
32328-57OTHERWISCONSINLICENSURES
4LP5638OTHERMINNESOTALICENSURES

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: 5/5/2024

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