Provider Demographics
NPI:1598377244
Name:CALMING JOURNEYS COUNSELING, S.C.
Entity Type:Organization
Organization Name:CALMING JOURNEYS COUNSELING, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BESSAC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-448-6418
Mailing Address - Street 1:220 WISCONSIN DELLS PKWY S STE 1
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN DELLS
Mailing Address - State:WI
Mailing Address - Zip Code:53965-8305
Mailing Address - Country:US
Mailing Address - Phone:608-448-6418
Mailing Address - Fax:
Practice Address - Street 1:220 WISCONSIN DELLS PKWY S STE 1
Practice Address - Street 2:
Practice Address - City:WISCONSIN DELLS
Practice Address - State:WI
Practice Address - Zip Code:53965-8305
Practice Address - Country:US
Practice Address - Phone:608-448-6418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39645100Medicaid