Organization
CHILDREN GUIDANCE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAANATHSHILOH S MAYS (OWNER)
(262) 752-8334
Entity
Organization
Contact information
Practice address
1710 60TH ST UPPR, KENOSHA, WI 53140-3957
(262) 752-8334
Mailing address
1710 60TH ST UPPR, KENOSHA, WI 53140-3957
(262) 705-1837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
05/05/2026
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