Organization
SOUTHWOODS COUNSELING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI SIVERLING-BAUER CMA (OFFICE MANAGER)
(715) 834-1000
Entity
Organization
Contact information
Practice address
4714 COMMERCE VALLEY RD, SUITE B, EAU CLAIRE, WI 54701-9033
(715) 834-1000
(715) 834-1170
Mailing address
4714 COMMERCE VALLEY RD, SUITE B, EAU CLAIRE, WI 54701-9033
(715) 834-1000
(715) 834-1170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2306
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42223000
—
WI
Enumeration date
01/03/2007
Last updated
08/22/2020
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