Provider Demographics
NPI:1497005417
Name:EMPATH COUNSELING, LLC
Entity Type:Organization
Organization Name:EMPATH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VOGEDES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:920-382-3822
Mailing Address - Street 1:200 S WATER ST
Mailing Address - Street 2:UNIT 210
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1498
Mailing Address - Country:US
Mailing Address - Phone:920-382-3822
Mailing Address - Fax:
Practice Address - Street 1:13500 WATERTOWN PLANK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2200
Practice Address - Country:US
Practice Address - Phone:920-382-3822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4254125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty