Organization
FULL POTENTIAL COACHING COUNSELING CONSULTING OF WI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED IZYDOR MS, LPC, CSAC (OWNER)
(608) 205-2294
Entity
Organization
Contact information
Practice address
4710 E BROADWAY, SUITE 135, MADISON, WI 53716-4103
(608) 205-2294
(608) 719-5033
Mailing address
4710 E BROADWAY, SUITE 135, MADISON, WI 53716-4103
(608) 205-2294
(608) 719-5033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14034
WI
101YP2500X
Professional Counselor
2878
WI
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us