Provider Demographics
NPI:1215912951
Name:OSWALD COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:OSWALD COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LPC,CADC3
Authorized Official - Phone:715-342-0290
Mailing Address - Street 1:1004 1ST ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2627
Mailing Address - Country:US
Mailing Address - Phone:715-342-0290
Mailing Address - Fax:
Practice Address - Street 1:1004 1ST ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2627
Practice Address - Country:US
Practice Address - Phone:715-342-0290
Practice Address - Fax:715-342-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2566261QM0801X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42239200Medicaid