Healthcare Provider Details

I. General information

NPI: 1932020849
Provider Name (Legal Business Name): CONFLUENCE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 OMAHA ST E
WASHBURN WI
54891
US

IV. Provider business mailing address

621 WASHINGTON AVE
WASHBURN WI
54891-1166
US

V. Phone/Fax

Practice location:
  • Phone: 314-520-9059
  • Fax:
Mailing address:
  • Phone: 314-520-9059
  • Fax:

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 State

VIII. Authorized Official

Name: SAMUEL CHRISTMAN
Title or Position: OWNER
Credential: LPC
Phone: 314-520-9059