Organization
RED OAK COUNSELING, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CLOYD (SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
12970 W BLUEMOUND RD, SUITE 308, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Mailing address
12970 W BLUEMOUND RD, SUITE 308, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42236500
—
WI
Enumeration date
07/26/2006
Last updated
08/22/2023
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