Healthcare Provider Details

I. General information

NPI: 1558787770
Provider Name (Legal Business Name): RENEE SAHAGIAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

IV. Provider business mailing address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

V. Phone/Fax

Practice location:
  • Phone: 608-274-0355
  • Fax:
Mailing address:
  • Phone: 608-274-0355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4940
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: