Growing Oak LLC

Organization Active NPI Professional Counselor · Ripon, WI

NPI 1306195276 · NPPES record last updated Sep 6, 2012

Key facts

NPI
1306195276
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
4622-125 (WI)
Legal business name
GROWING OAK LLC
Practice address
112 Watson St
Ripon, WI 54971-1327
Phone
(920) 896-0189
Fax
(920) 694-3021
NPI assigned
Sep 6, 2012
Organization subpart
No

Authorized official

Name
Lindsay Loewe, LPC
Title
Mental Health & Substance Abuse
Phone
(608) 469-1753

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

112 Watson St
Ripon, WI 54971
Phone (920) 896-0189

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 4622-125 WI
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 4622-125 WI Yes

Addresses

Primary practice location

112 Watson St
Ripon, WI 54971-1327

Mailing address

112 Watson St
Ripon, WI 54971-1327
Phone (920) 896-0189

Other identifiers

IdentifierTypeStateIssuer
1235417593OtherINDIVIDUAL NPI NUMBER

Other providers in Ripon, WI

All providers in Ripon, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.