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NPI 1164363974

NPI 1164363974 : REDWOOD COUNSELING OF WI : WISCONSIN RAPIDS, WI

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General NPI Number Information
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    NPI Number           |    1164363974
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    Entity Type          |    Organization 
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    Legal Business Name  |    REDWOOD COUNSELING OF WI 
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Dates
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    Enumeration Date     |    04/03/2026
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    Last Update Date     |    04/03/2026
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Provider Practice Location Address
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    Address Line         |    1210 PEPPER AVE 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54494-6415
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    Country              |    US
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    Telephone            |    715-255-1120
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    Fax                  |    715-255-1120
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Provider Business Mailing Address
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    Address Line         |    1210 PEPPER AVE 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54494-6415
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    Country              |    US
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    Telephone            |    715-255-1120
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    Fax                  |    715-255-1120
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Authorized Official
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    Title or Position    |    LPC-IT, OWNER
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    Name                 |     FELICIA  SMITH 
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    Credential           |    LPC-IT
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    Telephone            |    715-630-9260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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