THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY NPI 1194233718

NPI Information

NPI: 1194233718
Provider Name: THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3100 N 78TH ST
MILWAUKEE, WI
ZIP 53222
Phone: (414) 395-0037
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THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY is a mental health (including community mental health center) clinic center in Milwaukee, WI. THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY NPI is 1194233718. The provider is registered as an organization entity type.

The provider's business location address is:

3100 N 78TH ST
MILWAUKEE, WI
ZIP 53222-916
Phone: (414) 395-0037

The provider's authorized official is Lakiesha Russell .
The authorized official title is President/child & Family Therapist and has the following contact phone number (414) 395-0037.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 1/17/2018.

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	251S00000X	Community/Behavioral Health		6098-125	WISCONSIN	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	6098-125	WISCONSIN	Yes
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	6098-125	WISCONSIN	No

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

NPI Synchronization or Removal

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