Provider Demographics
NPI:1952198475
Name:CANDID COUNSELING LLC
Entity type:Organization
Organization Name:CANDID COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUROKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-921-3560
Mailing Address - Street 1:1040 1ST CENTER AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BRODHEAD
Mailing Address - State:WI
Mailing Address - Zip Code:53520-1419
Mailing Address - Country:US
Mailing Address - Phone:608-921-3560
Mailing Address - Fax:
Practice Address - Street 1:1040 1ST CENTER AVE APT 4
Practice Address - Street 2:
Practice Address - City:BRODHEAD
Practice Address - State:WI
Practice Address - Zip Code:53520-1419
Practice Address - Country:US
Practice Address - Phone:608-921-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty