WISCONSIN INDEPENDENT LIVING SERVICES LLC NPI 1477822534

NPI Information

NPI: 1477822534
Provider Name: WISCONSIN INDEPENDENT LIVING SERVICES LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2821 N 4TH ST
STE 516
MILWAUKEE, WI
ZIP 53212
Phone: (414) 263-6000
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WISCONSIN INDEPENDENT LIVING SERVICES LLC is an addiction (substance use disorder) counselor in Milwaukee, WI. WISCONSIN INDEPENDENT LIVING SERVICES LLC NPI is 1477822534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2821 N 4TH ST
STE 516
MILWAUKEE, WI
ZIP 53212-362
Phone: (414) 263-6000
Fax: (414) 332-2523

The provider's authorized official is Shelia Sampton Fossie .
The authorized official title is President and has the following contact phone number (414) 263-6000.

The enumeration date for this NPI number is 12/19/2011 and was last updated on 1/3/2013.

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)			Yes

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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