Provider Demographics
NPI:1578029443
Name:BEE HAPPY THERAPY, LLC
Entity Type:Organization
Organization Name:BEE HAPPY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATEY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:262-749-8687
Mailing Address - Street 1:N7269 COLBO RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-2525
Mailing Address - Country:US
Mailing Address - Phone:262-749-8687
Mailing Address - Fax:
Practice Address - Street 1:647 W MAIN ST STE 900
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-1985
Practice Address - Country:US
Practice Address - Phone:262-749-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1134613656OtherNPI FOR PROVIDER - KATHERINE COLLINS
WI8942-123OtherSTATE LICENESE FOR KATHERINE COLLINS - LCSW