| Off-the-track Counseling Llc | |
|
7802 Quigley Rd Omro WI 54963-9368 | |
| (920) 500-0596 | |
| Not Available |
| Full Name | Off-the-track Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7802 Quigley Rd, Omro, Wisconsin |
| Authorized Official Name and Position | Jordan Kaurin (OWNER) |
| Authorized Official Contact | 9205000596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Off-the-track Counseling Llc 222 Madison Ave Omro WI 54963-1459 Ph: (920) 427-2598 | Off-the-track Counseling Llc 7802 Quigley Rd Omro WI 54963-9368 Ph: (920) 500-0596 |
| NPI Number | 1619813136 |
|---|---|
| Provider Enumeration Date | 04/27/2026 |
| Last Update Date | 04/27/2026 |
| Certification Date | 04/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619813136 | NPI | - | NPPES |
| 100381399 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |