Healthcare Provider Details

I. General information

NPI: 1821722620
Provider Name (Legal Business Name): BELLE A MCGATHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MAIN ST FL 5
LA CROSSE WI
54601-9207
US

IV. Provider business mailing address

401 MAIN ST FL 5
LA CROSSE WI
54601-9207
US

V. Phone/Fax

Practice location:
  • Phone: 608-397-0192
  • Fax: 608-881-6364
Mailing address:
  • Phone: 608-397-0192
  • Fax: 608-881-6364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8915-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: