Provider Demographics
NPI:1407001662
Name:KRAWCZYK COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:KRAWCZYK COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAWCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-965-7701
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-0025
Mailing Address - Country:US
Mailing Address - Phone:920-983-9401
Mailing Address - Fax:920-983-9402
Practice Address - Street 1:2631 PACKERLAND DR
Practice Address - Street 2:SUITE 104C
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54313-4130
Practice Address - Country:US
Practice Address - Phone:920-965-7701
Practice Address - Fax:920-497-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6723-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty