Provider Demographics
NPI:1124822168
Name:PEKO THERAPY LLC
Entity type:Organization
Organization Name:PEKO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-KOHL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:608-218-4251
Mailing Address - Street 1:2814 COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4513
Mailing Address - Country:US
Mailing Address - Phone:608-218-4251
Mailing Address - Fax:
Practice Address - Street 1:2814 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4513
Practice Address - Country:US
Practice Address - Phone:608-218-4251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health