Mr Kehnide Muata Lumumba, CSAS - Counselor in Milwaukee, WI

Mr Kehnide Muata Lumumba, CSAS is a Counselor - Addiction (substance Use Disorder) based in Milwaukee, Wisconsin. Mr Kehnide Muata Lumumba is licensed to practice in Wisconsin (license number 15253-132) and his current practice location is 3020 W Vliet St, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 312-8910.

NPI number for Mr Kehnide Muata Lumumba is 1043513419 and his current mailing address is 3020 W Vliet St, Milwaukee, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043513419.

Contact Information

Mr Kehnide Muata Lumumba, CSAS
3020 W Vliet St,
Milwaukee, WI 53208-2461
(414) 312-8910
(414) 455-3292

Map and Direction


Healthcare Provider's Profile

Full NameMr Kehnide Muata Lumumba
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3020 W Vliet St, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043513419
  • Provider Enumeration Date: 12/07/2010
  • Last Update Date: 12/07/2010

Medical Identifiers

Medical identifiers for Mr Kehnide Muata Lumumba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043513419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 15253-132 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kehnide Muata Lumumba is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kehnide Muata Lumumba, CSAS
3020 W Vliet St,
Milwaukee, WI 53208-2461

Ph: (414) 312-8910
Mr Kehnide Muata Lumumba, CSAS
3020 W Vliet St,
Milwaukee, WI 53208-2461

Ph: (414) 312-8910

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