Provider Demographics
NPI:1841246204
Name:LUCY PIRNER
Entity Type:Organization
Organization Name:LUCY PIRNER
Other - Org Name:AWAKEN COUNSELING & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PIRNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LP,LPC
Authorized Official - Phone:715-220-1185
Mailing Address - Street 1:N7799 COUNTY RD W
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-4258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 STAGELINE RD
Practice Address - Street 2:HUDSON COUNSELING SERVICES STE. 7
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7897
Practice Address - Country:US
Practice Address - Phone:715-220-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2729-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI=========OtherTAX ID