Organization
SPOON & STONE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA TAYS LPC (OWNER)
(414) 426-9775
Entity
Organization
Contact information
Practice address
1219 N CASS ST, MILWAUKEE, WI 53202-2770
(414) 426-9775
Mailing address
1434 MARQUETTE AVE, SOUTH MILWAUKEE, WI 53172-2422
(414) 426-9775
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056504
—
WI
Enumeration date
03/16/2021
Last updated
05/17/2024
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