Healthcare Provider Details

I. General information

NPI: 1841831153
Provider Name (Legal Business Name): LIV COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N 8TH ST STE 505
SHEBOYGAN WI
53081-4525
US

IV. Provider business mailing address

605 N 8TH ST STE 505
SHEBOYGAN WI
53081-4525
US

V. Phone/Fax

Practice location:
  • Phone: 855-458-2548
  • Fax: 920-335-8228
Mailing address:
  • Phone: 855-458-2548
  • Fax: 920-335-8228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIK BUCHELT
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC, SAC
Phone: 855-458-2548