Organization
HOLISTIC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LYNN MILLER LPC (OWNER)
(608) 291-5891
Entity
Organization
Contact information
Practice address
1517 HUEBBE PARKWAY, STE A, BELOIT, WI 53511
(608) 291-5891
(608) 713-9040
Mailing address
1517 E HUEBBE PKWY STE A, BELOIT, WI 53511-1795
(608) 291-5891
(608) 713-9040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096899
—
WI
Enumeration date
04/28/2019
Last updated
04/09/2020
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