Healthcare Provider Details

I. General information

NPI: 1013287523
Provider Name (Legal Business Name): GENA LEIGH CALLIHAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 LORCH AVE
EAU CLAIRE WI
54701-9699
US

IV. Provider business mailing address

2855 LORCH AVE
EAU CLAIRE WI
54701-9699
US

V. Phone/Fax

Practice location:
  • Phone: 715-828-8030
  • Fax: 866-479-7981
Mailing address:
  • Phone: 715-828-8030
  • Fax: 866-479-7981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5237-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: