Healthcare Provider Details

I. General information

NPI: 1184900607
Provider Name (Legal Business Name): SHAUNA LEIGH PUTZY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAUNA HILLER BEHAVIOR ANALYST

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 MALL DR STE 7
EAU CLAIRE WI
54701-6835
US

IV. Provider business mailing address

7350 20TH AVE
EAU CLAIRE WI
54703-6888
US

V. Phone/Fax

Practice location:
  • Phone: 715-895-7115
  • Fax:
Mailing address:
  • Phone: 715-379-5615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5709-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: