Organization
IMANI COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIA ANDREA HOLLOWAY MS, LPC (OWNER / PSYCHOTHERAPIST)
(414) 737-1820
Entity
Organization
Contact information
Practice address
13500 W CAPITOL DR, SUITE 104, BROOKFIELD, WI 53005-2444
(414) 737-1820
(414) 455-5405
Mailing address
13500 W CAPITOL DR, SUITE 104, BROOKFIELD, WI 53005-2444
(414) 737-1820
(414) 455-5405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
413-7125
WI
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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