Provider Demographics
NPI:1770317679
Name:POSEY, ANTONIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANTONIA
Middle Name:
Last Name:POSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W1433 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:GENOA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53128-1466
Mailing Address - Country:US
Mailing Address - Phone:262-745-7509
Mailing Address - Fax:
Practice Address - Street 1:600 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:TWIN LAKES
Practice Address - State:WI
Practice Address - Zip Code:53181-9502
Practice Address - Country:US
Practice Address - Phone:262-745-7509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11267-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health