Provider Demographics
NPI:1639405996
Name:INFINITE RELATIONSHIPS LLC
Entity type:Organization
Organization Name:INFINITE RELATIONSHIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:608-848-8000
Mailing Address - Street 1:951 KIMBALL LN
Mailing Address - Street 2:STE 206
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1786
Mailing Address - Country:US
Mailing Address - Phone:608-848-8000
Mailing Address - Fax:608-845-1335
Practice Address - Street 1:951 KIMBALL LN
Practice Address - Street 2:STE 206
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1786
Practice Address - Country:US
Practice Address - Phone:608-848-8000
Practice Address - Fax:608-845-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1376-057251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health