Healthcare Provider Details

I. General information

NPI: 1588510622
Provider Name (Legal Business Name): INTERWEAVE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 GUTHRIE RD
EAU CLAIRE WI
54703-0627
US

IV. Provider business mailing address

3130 GUTHRIE RD
EAU CLAIRE WI
54703-0627
US

V. Phone/Fax

Practice location:
  • Phone: 623-703-3726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GIA HEPFLER
Title or Position: OWNER
Credential: PHD
Phone: 715-256-7719