Organization
ALLIANCE INDIVIDUAL & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDA MITCHELL LMFT (ADMINISTRATOR)
(414) 355-5594
Entity
Organization
Contact information
Practice address
5600 W BROWN DEER RD, SUITE 216, MILWAUKEE, WI 53223-2311
(414) 355-5594
(414) 751-5166
Mailing address
PO BOX 16513, MILWAUKEE, WI 53216-0513
(414) 355-5594
(414) 751-5166
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2975
DEPARTMENT OF QUALITY ASSURANCE CERTIFICATION
WI
Enumeration date
07/30/2012
Last updated
03/24/2014
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