Provider Demographics
NPI:1578002606
Name:ZEPHYR COUNSELING SERVICES
Entity Type:Organization
Organization Name:ZEPHYR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPRP, LMFT
Authorized Official - Phone:619-980-9549
Mailing Address - Street 1:522 2ND ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-2512
Mailing Address - Country:US
Mailing Address - Phone:619-980-9549
Mailing Address - Fax:651-305-1022
Practice Address - Street 1:522 2ND ST STE 2B
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-2512
Practice Address - Country:US
Practice Address - Phone:619-980-9549
Practice Address - Fax:651-305-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1031124261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1881007672OtherNPI