Provider Demographics
NPI:1174662464
Name:OSHKOSH COUNSELING CENTER INC
Entity Type:Organization
Organization Name:OSHKOSH COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:920-231-2858
Mailing Address - Street 1:501 MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-5139
Mailing Address - Country:US
Mailing Address - Phone:920-231-2858
Mailing Address - Fax:920-231-4048
Practice Address - Street 1:501 MERRITT AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-5139
Practice Address - Country:US
Practice Address - Phone:920-231-2858
Practice Address - Fax:920-231-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1723101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty