Full Potential Coaching Counseling Consulting Of Wi, Llc

LBN: Full Potential Coaching Counseling Consulting Of Wi, Llc
Full Potential Coaching Counseling Consulting Of Wi, Llc is an health care organization with primary practice located at 4710 E Broadway Suite 135, Madison WI 53716-4103. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Full Potential Coaching Counseling Consulting Of Wi, Llc can be contacted via phone (608) 205-2294, or through Izydor, Ted via phone (608) 205-2294.

Contact Information

Primary practice address
4710 E Broadway Suite 135 Madison WI 53716-4103
Phone: (608) 205-2294
Fax: (608) 719-5033
Website:
Map and Directions
Authorized official contact:
Name: Izydor, Ted MS, LPC, CSAC
Phone: (608) 205-2294

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14034 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 2878 Wisconsin

Profile Details

NPI number 1528507605
LBN Legal business name Full Potential Coaching Counseling Consulting Of Wi, Llc
DBA Doing business as
Authorized official Izydor, Ted MS, LPC, CSAC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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