Healthcare Provider Details

I. General information

NPI: 1992633309
Provider Name (Legal Business Name): PEACE COUNSELING & SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1557 CLEVELAND AVE
MARINETTE WI
54143-3920
US

IV. Provider business mailing address

1557 CLEVELAND AVE
MARINETTE WI
54143-3920
US

V. Phone/Fax

Practice location:
  • Phone: 715-732-6868
  • Fax: 715-732-6866
Mailing address:
  • Phone: 715-732-6868
  • Fax: 715-732-6866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: IVY SUTEK
Title or Position: OWNER/COUNSELOR
Credential: CSAC, CADC, CSIT
Phone: 715-938-3880