Provider Demographics
NPI:1821549601
Name:CLEAR SKIES CHILD AND FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:CLEAR SKIES CHILD AND FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-418-8380
Mailing Address - Street 1:1810 CREST VIEW DR STE 2D
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-9341
Mailing Address - Country:US
Mailing Address - Phone:612-293-9683
Mailing Address - Fax:
Practice Address - Street 1:1810 CREST VIEW DR STE 2D
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9341
Practice Address - Country:US
Practice Address - Phone:612-293-9683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3207226251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health