Organization
HEARTHSTONE THERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN KRUEGER LCSW (PRESIDENT)
(414) 282-8353
Entity
Organization
Contact information
Practice address
4810 S 76TH ST, SUITE 106, GREENFIELD, WI 53220-4360
(414) 282-8353
(414) 536-8605
Mailing address
4810 S 76TH ST, SUITE 106, GREENFIELD, WI 53220-4360
(414) 282-8353
(414) 536-8605
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228716
VALUEOPTIONS PROVIDER
WI
01
—
372421
HEALTHNET
WI
Enumeration date
04/17/2007
Last updated
04/09/2013
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