1437797958 NPI number — MISS GENEVIEVE HELEN GEFFERT LPC

Table of content: MISS GENEVIEVE HELEN GEFFERT LPC (NPI 1437797958)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437797958 NPI number — MISS GENEVIEVE HELEN GEFFERT LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEFFERT
Provider First Name:
GENEVIEVE
Provider Middle Name:
HELEN
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HINES
Provider Other First Name:
GENEVIEVE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437797958
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
W8632 COUNTY ROAD I
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53952-8874
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-369-2669
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 GRAYSIDE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAUSTON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53948-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-847-7575
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  10232-125 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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