CHRISTIAN LIFE COUNSELING LLC NPI 1023056009

NPI Information

NPI: 1023056009
Provider Name: CHRISTIAN LIFE COUNSELING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
12630 W NORTH AVE BLDG E
BROOKFIELD, WI
ZIP 53005
Phone: (262) 785-1008
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CHRISTIAN LIFE COUNSELING LLC is a mental health (including community mental health center) clinic center in Brookfield, WI. CHRISTIAN LIFE COUNSELING LLC NPI is 1023056009. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12630 W NORTH AVE BLDG E
BROOKFIELD, WI
ZIP 53005
Phone: (262) 785-1008
Fax: (262) 432-9059

The provider's authorized official is Tanya L Gerhard .
The authorized official title is Co-owner and has the following contact phone number (262) 785-1008.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 4/9/2020.

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	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	103T00000X	Psychologist		No
4	103TC0700X	Psychologist	Clinical	No
5	104100000X	Social Worker		No
6	1041C0700X	Social Worker	Clinical	No
7	106H00000X	Marriage & Family Therapist		No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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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