Organization
RED FEATHER THERAPY AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT STREYLE MS, LCSW (CEO - CLINICAL SOCIAL WORKER)
(608) 738-5261
Entity
Organization
Contact information
Practice address
2920 EAST AVENUE SOUTH SUITE 101, RED FEATHER THERAPY AND CONSULTING, LLC, LACROSSE, WI 54601-4925
(608) 784-8688
(608) 784-8686
Mailing address
320 17TH ST S, RED FEATHER THERAPY AND CONSULTING, LLC, LACROSSE, WI 54601-4925
(608) 738-5261
(608) 784-8686
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2363-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881690386
—
WI
Enumeration date
05/11/2011
Last updated
05/11/2011
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