Provider Demographics
NPI:1295486579
Name:PERCEPTIONS COUNSELING LLC
Entity type:Organization
Organization Name:PERCEPTIONS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BALJINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:920-917-9902
Mailing Address - Street 1:4302 KRUSCHKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3036
Mailing Address - Country:US
Mailing Address - Phone:920-917-9902
Mailing Address - Fax:888-611-3130
Practice Address - Street 1:3424 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-1862
Practice Address - Country:US
Practice Address - Phone:920-917-9902
Practice Address - Fax:888-694-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI101YM0800XMedicaid