Organization
LOVE AND CARE COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LE'KEYA LEE MMHC (PROGRAM DIRECTOR)
(414) 399-7342
Entity
Organization
Contact information
Practice address
2266 N PROSPECT AVE, SUITE 514, MILWAUKEE, WI 53202-6319
(414) 722-3274
Mailing address
5609 W THURSTON AVE, UNIT B, MILWAUKEE, WI 53218-2433
(414) 399-7342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3700-125
WI
1041C0700X
Clinical Social Worker
7475-123
WI
163W00000X
Registered Nurse
—
WI
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
120939
WI
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255534061
—
WI
05
—
1346356953
—
WI
05
—
1447501994
—
WI
05
—
1649447327
—
WI
05
—
1679797534
—
WI
05
—
1760795322
—
WI
Enumeration date
07/23/2010
Last updated
01/09/2013
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