Provider Demographics
NPI:1073338992
Name:EVERMORE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:EVERMORE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARPULA SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:608-620-3880
Mailing Address - Street 1:1822 LYNNDALE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3326
Mailing Address - Country:US
Mailing Address - Phone:608-213-9212
Mailing Address - Fax:608-729-3135
Practice Address - Street 1:1934 MONROE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2027
Practice Address - Country:US
Practice Address - Phone:608-620-3880
Practice Address - Fax:608-729-3135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty