Healthcare Provider Details

I. General information

NPI: 1861592842
Provider Name (Legal Business Name): REACH COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 S COMMERCIAL ST
NEENAH WI
54956-6152
US

IV. Provider business mailing address

1509 S COMMERCIAL ST
NEENAH WI
54956-6152
US

V. Phone/Fax

Practice location:
  • Phone: 920-722-8150
  • Fax: 920-722-0142
Mailing address:
  • Phone: 920-722-8150
  • Fax: 920-722-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1830
License Number StateWI
# 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

VIII. Authorized Official

Name: MS. KIM HLAVKA
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: M.S.E., L.P.C.
Phone: 920-722-8150