Provider Demographics
NPI:1548538275
Name:OPTIONS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:OPTIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CSAC, ICS
Authorized Official - Phone:920-470-1989
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:MINOCQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54548-0027
Mailing Address - Country:US
Mailing Address - Phone:715-356-5377
Mailing Address - Fax:715-356-5378
Practice Address - Street 1:9433 COUNTY RD J
Practice Address - Street 2:
Practice Address - City:MINOCQUA
Practice Address - State:WI
Practice Address - Zip Code:54548-9318
Practice Address - Country:US
Practice Address - Phone:715-356-5377
Practice Address - Fax:715-356-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility