KENNETH GINLACK SR CONSULTING SERVICES LLC


Address: 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421
Phone: 4146004823

KENNETH GINLACK SR CONSULTING SERVICES LLC (NPI# 1891359576) 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) 1891359576
Entity Type Organization
Organization Name KENNETH GINLACK SR CONSULTING SERVICES LLC
Practice Address 3927 S Howell Ave Ste 102
Milwaukee
WI 53207-4421
Practice Telephone 4146004823
Mailing Telephone 4146004823
Enumeration Date 2019-04-27
Last Update Date 2019-04-27
Authorized Official Name MR. KENNETH GINLACK SR. (CEO/DIRECTOR)
Authorized Official Telephone 4142360083
Authorized Official Credential LCSW,CSAC,ICS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kenneth Ginlack Sr. Consulting & Training Center LLC Doing Business As Name - Organization

Office Location

Street Address 3927 S HOWELL AVE STE 102
City MILWAUKEE
State WI
Zip Code 53207-4421

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1497304117 Diane Wisch Technician 3602 S. 4th, Mil, WI 53207 2019-09-05
1811384464 Megan O Bedolla Emergency Medicine 2338 E Ohio Ave, Milwaukee, WI 53207 2015-04-21
1255677563 Jon Arthur Toppen Counselor 2637 S Fulton St, Milwaukee, WI 53207 2012-12-14
1720316730 Paula Maria Ortega Flores Massage Therapist 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 2009-12-02
1306087127 Theron Mills Counselor 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 2009-03-09
1841438769 Counseling & Transition Center Inc Clinic/Center 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 2009-01-30
1679727812 Well-rounded, LLC Clinic/Center 2455 S. Howell Ave., Milwaukee, WI 53207 2008-11-14
1316154024 Christian T. Harteau Student in an Organized Health Care Education/Training Program 3174 S Howell Ave, Milwaukee, WI 53207 2007-05-16
1316008303 Thomas Fisher Clinical Neuropsychologist 2419 S. Lenox Street, Milwaukee, WI 53207 2006-12-13
1750470811 David Alan Duter Technician, Other Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 2006-10-12
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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
1639193212 Horizon Healthcare, Inc Clinic/Center 5408 W Burleigh St, Milwaukee, WI 53210-1624 2006-07-27
1053934034 Heather Hart Kennedy, Lcsw, LLC Clinic/Center 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 2020-05-25
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Competitor

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City MILWAUKEE
Zip Code 53207

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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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