Organization
OPAL WATERS THERAPY LLC
Active
Organization
OPAL WATERS THERAPY LLC
Active
Other names
Opal Waters Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GRACE KANZENBACH LCSW (OWNER)
(608) 668-4035
Entity
Organization
Contact information
Practice address
361 FALLS RD STE 688, GRAFTON, WI 53024-2617
(608) 668-4035
Mailing address
361 FALLS RD STE 688, GRAFTON, WI 53024-2617
(608) 668-4035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up