Healthcare Provider Details

I. General information

NPI: 1023964624
Provider Name (Legal Business Name): ESSENTIAL HABITS FOR WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E884 STEVENS RD
DE SOTO WI
54624-6314
US

IV. Provider business mailing address

E884 STEVENS RD
DE SOTO WI
54624-6314
US

V. Phone/Fax

Practice location:
  • Phone: 608-385-7300
  • Fax:
Mailing address:
  • Phone: 608-385-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIE SLABACK
Title or Position: OWNER/PRACTITIONER
Credential: LPCC, LPC
Phone: 608-385-7300