MEDICARE: INTERWEAVE THERAPY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588510622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERWEAVE THERAPY

Provider Business Mailing Address
First Line	:	3130 GUTHRIE RD
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-0627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 GUTHRIE RD
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-0627
Country	:	US
Telephone Number	:	623-703-3726
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GIA HEPFLER
Credential	:	PHD
Telephone Number	:	901-264-0509

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/17/2026

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Directions to “INTERWEAVE THERAPY ” Practice Location

Language	Start Address	Practice Location

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