Basic Information
| Provider Information | |||||||||
| NPI: | 1851631394 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ATLAS COUNSELING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 406 N PINCKNEY ST | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537031410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6085359285 | ||||||||
| FaxNumber: | 6082558837 | ||||||||
| Practice Location | |||||||||
| Address1: | 406 N PINCKNEY ST | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537031410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6085359285 | ||||||||
| FaxNumber: | 6082558837 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2013 | ||||||||
| LastUpdateDate: | 02/20/2013 | ||||||||
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| AuthorizedOfficialLastName: | EINSMAN | ||||||||
| AuthorizedOfficialFirstName: | ALEXANDER | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | MARRIAGE & FAMILY THERAPIST / OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6085359285 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MFT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 284-228 | WI | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.