Organization
RIVER VALLEY RENEWAL COUNSELING AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BREAULT MA, LPC (CEO)
(715) 483-7300
Entity
Organization
Contact information
Practice address
809 US HIGHWAY 8, SAINT CROIX FALLS, WI 54024-8335
(715) 483-7300
(715) 483-7301
Mailing address
809 US HIGHWAY 8, SAINT CROIX FALLS, WI 54024-8335
(715) 483-7300
(715) 483-7301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902207012
—
WI
Enumeration date
10/28/2020
Last updated
10/28/2020
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