Provider Demographics
NPI:1730314105
Name:LOOMANS, TRENA (LPC, NCC, MSAT)
Entity Type:Individual
Prefix:DR
First Name:TRENA
Middle Name:
Last Name:LOOMANS
Suffix:
Gender:F
Credentials:LPC, NCC, MSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227400 RIB MOUNTAIN DR STE D
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-5049
Mailing Address - Country:US
Mailing Address - Phone:715-301-0667
Mailing Address - Fax:715-870-2267
Practice Address - Street 1:227400 RIB MOUNTAIN DR STE D
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-5049
Practice Address - Country:US
Practice Address - Phone:715-301-0667
Practice Address - Fax:715-870-2267
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3917-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI10003578Medicaid