Healthcare Provider Details

I. General information

NPI: 1205377801
Provider Name (Legal Business Name): AVENUES COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 11TH ST STE 1-4
MONROE WI
53566-1701
US

IV. Provider business mailing address

1518 11TH ST STE 1-4
MONROE WI
53566-1701
US

V. Phone/Fax

Practice location:
  • Phone: 608-325-1070
  • Fax: 608-325-1070
Mailing address:
  • Phone: 608-325-1070
  • Fax: 608-325-1070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number5855-125
License Number StateWI

VIII. Authorized Official

Name: JOLIE LABARRE
Title or Position: OFFICE MANAGER
Credential:
Phone: 608-520-0521