Provider Demographics
NPI:1124246897
Name:TOMAHAWK COUNSELING
Entity type:Organization
Organization Name:TOMAHAWK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:KOVACS
Authorized Official - Suffix:
Authorized Official - Credentials:SAC IT
Authorized Official - Phone:920-405-9701
Mailing Address - Street 1:1345 W MASON SUITE L8
Mailing Address - Street 2:PO BOX 12556
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54307-2556
Mailing Address - Country:US
Mailing Address - Phone:920-405-9701
Mailing Address - Fax:920-405-9703
Practice Address - Street 1:1345 W MASON STREET
Practice Address - Street 2:SUITE L8
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303
Practice Address - Country:US
Practice Address - Phone:920-405-9701
Practice Address - Fax:920-405-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)