MRS. RENE ANN BURGOYNE MS ATRL-BC NPI 1952493470

NPI Information

NPI: 1952493470
Provider Name: MRS. RENE ANN BURGOYNE, MS, ATRL-BC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12970 W BLUEMOUND RD
SUITE 308
ELM GROVE, WI
ZIP 53122
Phone: (262) 780-1020
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MRS. Rene Ann Burgoyne, MS, ATRL-BC is a professional counselor in Elm Grove, WI. MRS. Rene Ann Burgoyne, MS, ATRL-BC NPI is 1952493470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12970 W BLUEMOUND RD
SUITE 308
ELM GROVE, WI
ZIP 53122-607
Phone: (262) 780-1020
Fax: (262) 780-1022

The enumeration date for this NPI number is 9/29/2006 and was last updated on 9/18/2008.

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	221700000X	Art Therapist		66-036	WISCONSIN	No
2	101YP2500X	Counselor	Professional	3853-125	WISCONSIN	Yes

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
1	66-036	OTHER	WISCONSIN	ART THERAPIST
2	40967900	MEDICAID	WISCONSIN

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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