Provider Demographics
NPI:1396595294
Name:HEALING STONE COUNSELING
Entity type:Organization
Organization Name:HEALING STONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KERZNAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-554-2930
Mailing Address - Street 1:3275A S 99TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-4284
Mailing Address - Country:US
Mailing Address - Phone:414-554-2930
Mailing Address - Fax:414-261-1403
Practice Address - Street 1:3275A S 99TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-4284
Practice Address - Country:US
Practice Address - Phone:414-554-2930
Practice Address - Fax:414-261-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)