LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC NPI 1184703290

NPI Information

NPI: 1184703290
Provider Name: LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 52D2210155

Address:
3800 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53222
Phone: (414) 536-8333
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LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC is a mental health (including community mental health center) clinic center in Wauwatosa, WI. LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN INC NPI is 1184703290. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3800 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53222-200
Phone: (414) 536-8333
Fax: (414) 536-8348

The provider's authorized official is Chuck Meseck .
The authorized official title is Ceo and has the following contact phone number (414) 536-8333.

The CLIA number assigned to this NPI record is 52D2210155 - other - outpatient aoda clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/16/2021.

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	Primary
1	101Y00000X	Counselor		No
2	103T00000X	Psychologist		No
3	104100000X	Social Worker		No
4	106H00000X	Marriage & Family Therapist		No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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	42133600	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: 4/28/2024

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