| Life Enhanced Counseling Services | |
|
5330 W Villard Ave Milwaukee WI 53218-4345 | |
| (414) 690-0672 | |
| Not Available |
| Full Name | Life Enhanced Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5330 W Villard Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Tonyetta L Ross (DIRECTOR) |
| Authorized Official Contact | 4146900672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhanced Counseling Services 1711 W Clayton Crest Ave Milwaukee WI 53221-3830 Ph: (414) 690-0672 | Life Enhanced Counseling Services 5330 W Villard Ave Milwaukee WI 53218-4345 Ph: (414) 690-0672 |
| NPI Number | 1205473329 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205473329 | NPI | - | NPPES |
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