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Organization

LASHAWNDA R DAVIS CURRENT INITIATIVES COUNSELING SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LASHAWNDA DAVIS MS, CAPSW (DIRECTOR/PSYCHOTHERAPIST)
(414) 628-5495
Entity
Organization

Contact information

Practice address
6815 W CAPITOL DR, ROOM 311, MILWAUKEE, WI 53216-2070
(414) 616-8805
(414) 616-2296
Mailing address
6815 W CAPITOL DR, ROOM 311, MILWAUKEE, WI 53216-2070
(414) 616-8805
(414) 616-2296

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251C00000X
WI
251S00000X
Community/Behavioral Health Agency
Primary
39773300
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39142000
WI
05
39274900
WI
05
39281100
WI
05
39611700
WI
05
39773300
WI
05
40923200
WI
05
40988100
WI
05
42233800
WI
05
42233821
WI
05
43705500
WI
Enumeration date
07/26/2007
Last updated
07/14/2008
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