Healthcare Provider Details

I. General information

NPI: 1588198774
Provider Name (Legal Business Name): OAK TREE CHILD AND FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 MADISON AVE
FORT ATKINSON WI
53538-1444
US

IV. Provider business mailing address

511 MADISON AVE
FORT ATKINSON WI
53538-1444
US

V. Phone/Fax

Practice location:
  • Phone: 920-541-3078
  • Fax:
Mailing address:
  • Phone: 920-541-3078
  • Fax: 920-817-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DARLENE M MEINERS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 608-215-7767