Overview
Name: BEAUTIFULLY BROKEN COUNSELING LLC
Specialty: Mental Health Counselor
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers
Classification: Counselor
Specialization: Mental Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: BEAUTIFULLY BROKEN COUNSELING LLC,1216 MAPLEWOOD CT,DE PERE,WI,541154232,US
Mailing Address: BEAUTIFULLY BROKEN COUNSELING LLC,1216 MAPLEWOOD CT,DE PERE,WI,541154232,US
Contact #
Practice location phone #: 9203340607
Practice location fax #:
Mailing address Phone #:
Mailing Address fax #:
Authorized official Name/Telephone #:AMANDA, RADTKE, LPC, OWNER 9203340607
Misc
Date NPI was obtained: 03/30/2022
Last data data was updated: 03/30/2022
Insurances: