RISING TIDES COUNSELING LLC NPI 1699500611

NPI Information

  • NPI: 1699500611
  • Provider Name: RISING TIDES COUNSELING, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 12727 64TH AVE
    PLEASANT PRAIRIE, WI
    ZIP 53158
  • Phone: (262) 909-6253

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NPI Details

RISING TIDES COUNSELING, LLC is a professional counselor in Pleasant Prairie, WI. RISING TIDES COUNSELING, LLC NPI is 1699500611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12727 64TH AVE
PLEASANT PRAIRIE, WI
ZIP 53158-655
Phone: (262) 909-6253

The provider's authorized official is Marvin Abac Valdez .
The authorized official title is Owner/therapist and has the following contact phone number (262) 909-6253.

The enumeration date for this NPI number is 9/9/2024 and was last updated on 9/9/2024.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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