| Current Initiatives Counseling Service Ii, Llc | |
|
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 | |
| (414) 628-5495 | |
| (414) 918-8218 |
| Full Name | Current Initiatives Counseling Service Ii, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11414 W Park Pl Ste 202, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Lashawnda Davis (DIRECTOR) |
| Authorized Official Contact | 4146285495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Current Initiatives Counseling Service Ii, Llc 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (414) 628-5495 | Current Initiatives Counseling Service Ii, Llc 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (414) 628-5495 |
| NPI Number | 1669072195 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669072195 | NPI | - | NPPES |
| 11414 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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