Healthcare Provider Details

I. General information

NPI: 1407766231
Provider Name (Legal Business Name): PLANTING HOPE RECOVERY AND COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 INTERNATIONAL LN STE 208
MADISON WI
53704-3152
US

IV. Provider business mailing address

224 SAUK ST APT C
LODI WI
53555-1452
US

V. Phone/Fax

Practice location:
  • Phone: 608-612-6967
  • Fax:
Mailing address:
  • Phone: 608-612-6967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHELSI KOENIG
Title or Position: MEMBER/OWNER
Credential: ICS, CSAC
Phone: 608-612-6967