Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Full Potential Coaching Counseling Consulting of Wi, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1528507605

Full Potential Coaching Counseling Consulting of Wi, LLC is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4710 E Broadway Ste 135
Madison, WI 53716-4103
Phone: (608) 205-2294
Fax: (608) 719-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14034 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 2878 (WI)

Record details

NPI number1528507605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Izydor — Owner · (608) 205-2294
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017
Mailing address4710 E Broadway, Suite 135, Madison, WI 53716-4103

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