Healthcare Provider Details

I. General information

NPI: 1497961551
Provider Name (Legal Business Name): CONNECTIONS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 UNIVERSITY AVE SUITE 100
MADISON WI
53705-5400
US

IV. Provider business mailing address

5005 UNIVERSITY AVE SUITE 100
MADISON WI
53705-5400
US

V. Phone/Fax

Practice location:
  • Phone: 608-233-2100
  • Fax: 608-221-1515
Mailing address:
  • Phone: 608-233-2100
  • Fax: 608-233-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberHFS 75.13
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberHFS 61.91
License Number StateWI

VIII. Authorized Official

Name: MR. CHARLES W CALLENDER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 608-233-2100