Provider Demographics
NPI:1598304412
Name:22 A DAY COUNSELING L.L.C.
Entity Type:Organization
Organization Name:22 A DAY COUNSELING L.L.C.
Other - Org Name:22 A DAY COUNSELING L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:ROADT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAC
Authorized Official - Phone:715-598-1865
Mailing Address - Street 1:2211 E CLAIREMONT AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4921
Mailing Address - Country:US
Mailing Address - Phone:715-598-1865
Mailing Address - Fax:715-598-1866
Practice Address - Street 1:2211 E CLAIREMONT AVE STE 2
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4921
Practice Address - Country:US
Practice Address - Phone:715-598-1865
Practice Address - Fax:715-598-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty