Provider Demographics
NPI:1588426282
Name:TOVANA COUNSELING, LLC
Entity type:Organization
Organization Name:TOVANA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTZKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-344-5400
Mailing Address - Street 1:6320 MONONA DR STE 301
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-3973
Mailing Address - Country:US
Mailing Address - Phone:608-344-5400
Mailing Address - Fax:608-713-8311
Practice Address - Street 1:6320 MONONA DR STE 301
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3973
Practice Address - Country:US
Practice Address - Phone:608-344-5400
Practice Address - Fax:608-713-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty