Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CHRISTIAN LIFE COUNSELING LLC
Active
Organization
CHRISTIAN LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA L GERHARD (CO-OWNER)
(262) 785-1008
Entity
Organization
Contact information
Practice address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005
(262) 785-1008
(262) 432-9059
Mailing address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005-4626
(262) 785-1008
(262) 432-9059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
04/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up