Provider Demographics
NPI:1720369366
Name:OPTIONS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:OPTIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DECORAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, SAC-IT
Authorized Official - Phone:715-369-7300
Mailing Address - Street 1:158 S ANDERSON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3447
Mailing Address - Country:US
Mailing Address - Phone:715-369-7300
Mailing Address - Fax:715-369-7301
Practice Address - Street 1:6400 INDUSTRIAL LOOP
Practice Address - Street 2:
Practice Address - City:GREENDALE
Practice Address - State:WI
Practice Address - Zip Code:53129-2452
Practice Address - Country:US
Practice Address - Phone:414-423-4100
Practice Address - Fax:414-423-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100017702Medicaid
WI100017702Medicaid