Organization
RIVER OF LIFE COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA FRANKLIN ELGIN LLC (PRESIDENT)
(414) 550-0659
Entity
Organization
Contact information
Practice address
216 GREEN BAY RD, SUITE 204, THIENSVILLE, WI 53092-1658
(414) 550-0659
(262) 242-1714
Mailing address
216 GREEN BAY RD, SUITE 204, THIENSVILLE, WI 53092-1658
(414) 550-0659
(262) 242-1714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
189-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189-125
LPC
WI
01
—
40969700
MEDICARE
WI
Enumeration date
01/30/2009
Last updated
01/30/2009
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