WISCONSIN LUTHERAN CHILD & FAMILY SERVICES NPI 1063964591

NPI Information

NPI: 1063964591
Provider Name: WISCONSIN LUTHERAN CHILD & FAMILY SERVICES

Doing Business As: CHRISTIAN FAMILY COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4200 W DOUGLAS AVE
MILWAUKEE, WI
ZIP 53209
Phone: (800) 438-1772
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WISCONSIN LUTHERAN CHILD & FAMILY SERVICES is a mental health counselor in Milwaukee, WI. WISCONSIN LUTHERAN CHILD & FAMILY SERVICES NPI is 1063964591. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Christian Family Counseling.

The provider's business location address is:

4200 W DOUGLAS AVE
MILWAUKEE, WI
ZIP 53209-529
Phone: (800) 438-1772
Fax: (262) 293-9737

The provider's authorized official is Linda Rangel .
The authorized official title is Insurance Coordinator and has the following contact phone number (262) 345-5533.

The enumeration date for this NPI number is 11/1/2016 and was last updated on 2/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17655-130	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	2449-226	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42223600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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