Provider Demographics
NPI:1235653643
Name:PAWS FOR COUNSELING
Entity Type:Organization
Organization Name:PAWS FOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:H
Authorized Official - Last Name:GIES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:262-232-3153
Mailing Address - Street 1:20720 WATERTOWN RD STE 230
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1919
Mailing Address - Country:US
Mailing Address - Phone:262-232-3153
Mailing Address - Fax:888-972-7086
Practice Address - Street 1:20720 WATERTOWN RD STE 230
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-1919
Practice Address - Country:US
Practice Address - Phone:262-232-3153
Practice Address - Fax:888-972-7086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7319-123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty