M D THERAPY LLC (NPI# 1811193675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811193675 |
| Entity Type | Organization |
| Organization Name | M D THERAPY LLC |
| Other Organization Name | DIRECTORS OF CONTINUATION SERVICES |
| Practice Address |
3118 N Teutonia Ave Milwaukee WI 53206-2264 |
| Practice Telephone | 4142646155 |
| Practice Fax Number | 4142648288 |
| Mailing Telephone | 4142646155 |
| Mailing Fax Number | 4142648288 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS MICHAEL DALE (PRESIDENT) |
| Authorized Official Telephone | 4142646155 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
2225 | WI | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 2225 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MENTAL HEALTH-OUTPATIENT | HFS 61.91 | 01 |
| WI | CSAS-OUTPATIENT TREATMENT | HFS 75.13 | 01 |
| Other Name | Type Code |
|---|---|
| Directors of Continuation Services | Former Legal Business Name - Organization |
| Street Address |
3118 N TEUTONIA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53206-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538740 | Thomas Michael Dale | Counselor | 3118 N Teutonia Ave, Milwaukee, WI 53206-2264 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1114548542 | Mtc Business Consulting & Management | Case Management | 2640 W Fondulac Ave, Milwaukee, WI 53206 | 2020-04-27 |
| 1558837096 | Allen Matthew Alston | Counselor | 2821 N. 4th St M&s Clinical Svc., Suite 210, Milwaukee, WI 53206 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1629586540 | Major Quality Care, LLC | Assisted Living Facility | 3431 N 13th Street, Milwaukee, WI 53206 | 2018-01-12 |
| 1851812879 | Tony Gardner | Counselor | 3948 N. 18th Street, Milwaukee, WI 53206 | 2017-06-29 |
| 1699103010 | Sweet Butterfly Transportation Service LLC | Non-emergency Medical Transport (VAN) | 3331 North 20 Street, Milwaukee, WI 53206 | 2013-10-22 |
| 1043472558 | Josephine Adams | Registered Nurse | 3541 North 20th Street, Milwaukee, WI 53206 | 2008-06-26 |
| 1023280567 | Roundys Supermarkets Inc | Pharmacy | 9200 N Greenbay Road, Brown Deer, WI 53206 | 2008-03-25 |
| 1285797522 | Gerard D Fontaine | Dentist | 2406 W Capitol Dr, Milwaukee, WI 53206 | 2006-12-18 |
| Find all providers in zip 53206 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| 1407465701 | Lashana Marie Vance | Counselor | 1311 S 93rd St, Milwaukee, WI 53214-2714 | 2020-07-23 |
| 1295358430 | Karmelita Moore | Counselor | 620 N 76th St, Milwaukee, WI 53213-3508 | 2020-05-22 |
| 1245871557 | Neyel Powell | Counselor | 1849 N Martin Luther King Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-10-08 |
| 1891255782 | Demetrius Levance Anderson Sr. | Counselor | 7732 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-25 |
| 1639642382 | Shaquita Glenn | Counselor | 1845 N Farwell Ave Ste 301, Milwaukee, WI 53202-1715 | 2019-01-05 |
| 1992274070 | Amy Lynn Geyser | Counselor | 204 E Capitol Dr Ste 100, Milwaukee, WI 53212-1200 | 2018-11-18 |
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| Find all providers in MILWAUKEE | ||||
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| 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.