| Lutheran Counseling & Family Services | |
|
2600 N Mayfair Rd Suite785 Wauwatosa WI 53226-1309 | |
| (414) 258-5704 | |
| (414) 258-8406 |
| Full Name | Lutheran Counseling & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Chuck Meseck (CEO) |
| Authorized Official Contact | 4145368333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Counseling & Family Services 2600 N Mayfair Rd Suite785 Wauwatosa WI 53226-1309 Ph: (414) 258-5704 | Lutheran Counseling & Family Services 2600 N Mayfair Rd Suite785 Wauwatosa WI 53226-1309 Ph: (414) 258-5704 |
| NPI Number | 1154448330 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154448330 | NPI | - | NPPES |
| 43556500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2417 (Wisconsin) | Primary |
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