Blackstone Therapy, LLC

NPI #1205562030 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1205562030
Entity Type: Organization
Organization Name: Blackstone Therapy, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 25, 2022
Last Updated: Mar 27, 2024

Practice Location

Address: 2940 CHAPEL VALLEY RD STE 2
City: Fitchburg
State: Wisconsin
ZIP Code: 53711-6451
Phone: (608) 501-3600

Authorized Official

Name: GUY BLACKSTONE, LPC, CRC
Title: VICE PRESIDENT
Phone: (608) 504-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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