Organization
COLLABORATIVE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE MICHAEL GUNVILLE LCSW (PSYCHOTHERAPIST)
(414) 292-3900
Entity
Organization
Contact information
Practice address
6793 N GREEN BAY AVE, GLENDALE, WI 53209-3422
(414) 292-3900
(414) 292-3901
Mailing address
8961 W PALMETTO CT, MILWAUKEE, WI 53225-5017
(414) 536-8604
(414) 536-8605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
835-123
WI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
Update your record
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 at https://nppes.cms.hhs.gov.
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