MEDICARE: AVENUES COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	5855-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205377801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVENUES COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1518 11TH ST STE 1-4
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-1701
Country	:	US
Telephone Number	:	608-325-1070
Fax Number	:	608-325-1070

Provider Business Practice Location Address
First Line	:	1518 11TH ST STE 1-4
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-1701
Country	:	US
Telephone Number	:	608-325-1070
Fax Number	:	608-325-1070

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JOLIE LABARRE
Credential	:
Telephone Number	:	608-520-0521

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	12/08/2025

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