INNER CITY BEHAVIOR SERVICES LLC NPI 1467813956

NPI Information

NPI: 1467813956
Provider Name: INNER CITY BEHAVIOR SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4738 W LISBON AVE
MILWAUKEE, WI
ZIP 53208
Phone: (414) 249-3571
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INNER CITY BEHAVIOR SERVICES, LLC is a mental health counselor in Milwaukee, WI. INNER CITY BEHAVIOR SERVICES, LLC NPI is 1467813956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4738 W LISBON AVE
MILWAUKEE, WI
ZIP 53208-416
Phone: (414) 249-3571
Fax: (414) 249-3876

The provider's authorized official is Barbara Tripp .
The authorized official title is Ceo and has the following contact phone number (414) 249-3571.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 3/11/2016.

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	101YM0800X	Counselor	Mental Health	5949-125	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	1669642591	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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