Provider Demographics
NPI:1235717521
Name:SEASONS COUNSELING, LLC
Entity Type:Organization
Organization Name:SEASONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:608-477-8670
Mailing Address - Street 1:1212 8TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-1875
Mailing Address - Country:US
Mailing Address - Phone:608-448-2497
Mailing Address - Fax:608-448-2865
Practice Address - Street 1:1212 8TH ST STE 3
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-1875
Practice Address - Country:US
Practice Address - Phone:608-448-2497
Practice Address - Fax:608-448-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1295136885Medicaid
WI1740352368Medicaid
WI1881090157Medicaid