THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY


Address: 3100 N 78th St, Milwaukee, WI 53222-3916
Phone: 4143950037

THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY (NPI# 1194233718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194233718
Entity Type Organization
Organization Name THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY
Practice Address 3100 N 78th St
Milwaukee
WI 53222-3916
Mailing Address 7425 W Florist Ave
Milwaukee
WI 53218-1850
Practice Telephone 4143950037
Mailing Telephone 4147481614
Enumeration Date 2018-01-17
Last Update Date 2018-01-17
Authorized Official Name MS. LAKIESHA RUSSELL (PRESIDENT/CHILD & FAMILY THERAPIST)
Authorized Official Telephone 4143950037
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 6098-125 WI Agencies
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
6098-125 WI Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
6098-125 WI Ambulatory Health Care Facilities

Office Location

Street Address 3100 N 78TH ST
City MILWAUKEE
State WI
Zip Code 53222-3916

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1679981328 Life Changing Ministries Substance Abuse Services Clinic/Center 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 2014-07-25
1962839589 Shoreview Counseling Services Clinic/Center 4950 N 21st St, Lower Level, Milwaukee, WI 53209-5750 2013-09-27
1952608721 Community Advocates, Inc Clinic/Center 4906 W Fond Du Lac Ave, Milwaukee, WI 53216-2325 2011-02-14
1841438769 Counseling & Transition Center Inc Clinic/Center 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 2009-01-30
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Competitor

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City MILWAUKEE
Zip Code 53222

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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