Provider Demographics
NPI:1609053891
Name:WOODVIEW COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:WOODVIEW COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLSCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW
Authorized Official - Phone:608-268-0341
Mailing Address - Street 1:330 S WHITNEY WAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4638
Mailing Address - Country:US
Mailing Address - Phone:608-423-3960
Mailing Address - Fax:608-423-7166
Practice Address - Street 1:437 S YELLOWSTONE DR STE 106
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1096
Practice Address - Country:US
Practice Address - Phone:608-268-0341
Practice Address - Fax:608-268-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI523123251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42252500Medicaid
WI39517700Medicaid