Organization
LONGEVITY COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MUHAMMAD LPC (FOUNDER)
(262) 292-1018
Entity
Organization
Contact information
Practice address
121 E SILVER SPRING DR STE 202, WHITEFISH BAY, WI 53217-4762
(262) 292-1018
Mailing address
121 E SILVER SPRING DR STE 202, WHITEFISH BAY, WI 53217-4762
(262) 292-1018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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