Healthcare Provider Details
I. General information
NPI: 1346568474
Provider Name (Legal Business Name): ADVANCED PSYCHOTHERAPY AND RECOVERY OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2010
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2921 LANDMARK PL STE 215
MADISON WI
53713-4248
US
IV. Provider business mailing address
2894 MELISSA CIR
FITCHBURG WI
53711-6414
US
V. Phone/Fax
- Phone: 608-577-4222
- Fax:
- Phone: 608-577-4222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | LPC4379-125 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | SAC15558-131 |
| License Number State | WI |
VIII. Authorized Official
Name:
BONNIE
SCHOENEMAN-LUBET
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: MS,LPC,CSAC,RN
Phone: 608-577-4222