Organization
THE THERAPY PLACE OF LA CROSSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUE HELLWIG-COTTRELL MS, LPC (OWNER)
(608) 317-7327
Entity
Organization
Contact information
Practice address
700 3RD ST N STE 202A, LA CROSSE, WI 54601-3288
(608) 317-7327
Mailing address
700 3RD ST N STE 202A, LA CROSSE, WI 54601-3288
(608) 317-7327
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3447-125
WI
251S00000X
Community/Behavioral Health Agency
4303-123
WI
251S00000X
Community/Behavioral Health Agency
6938-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3447-125
LICENSE NUMBER
WI
01
—
4303-123
LICENSE NUMBER
WI
01
—
6938-123
LICENSE NUMBER
—
Enumeration date
01/23/2015
Last updated
01/23/2015
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