MIRACLE COUNSELING LIFE COACHING LLC NPI 1942682620

NPI Information

NPI: 1942682620
Provider Name: MIRACLE COUNSELING LIFE COACHING, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6724 W MORGAN AVE.
MILWAUKEE, WI
ZIP 53220
Phone: (414) 405-1682
Get Directions

MIRACLE COUNSELING LIFE COACHING, LLC is a mental health counselor in Milwaukee, WI. MIRACLE COUNSELING LIFE COACHING, LLC NPI is 1942682620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6724 W MORGAN AVE.
MILWAUKEE, WI
ZIP 53220-340
Phone: (414) 405-1682
Fax: (414) 979-6449

The provider's authorized official is Mirta L Cabrera .
The authorized official title is Ceo/psychotherapist and has the following contact phone number (920) 889-7200.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 6/18/2015.

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		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	1043588619	OTHER	WISCONSIN	PROFESSIONAL NPI
2	101YP2500X	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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