Healthcare Provider Details

I. General information

NPI: 1114569977
Provider Name (Legal Business Name): KATE O ZOLANDZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W175N11081 STONEWOOD DR STE 103
GERMANTOWN WI
53022-4771
US

IV. Provider business mailing address

W175N11081 STONEWOOD DR STE 103
GERMANTOWN WI
53022-4771
US

V. Phone/Fax

Practice location:
  • Phone: 262-789-1191
  • Fax:
Mailing address:
  • Phone: 414-328-3716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11601-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: