Organization
AMERICAN RELAXATION COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL FORD MA (DIRECTOR)
(414) 517-7607
Entity
Organization
Contact information
Practice address
5600 W BROWN DEER RD STE 106, BROWN DEER, WI 53223-2346
(414) 446-8154
Mailing address
5600 W BROWN DEER RD STE 106, BROWN DEER, WI 53223-2346
(414) 446-8154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3255
WISCONSIN CERTIFICATION
WI
Enumeration date
06/09/2019
Last updated
06/09/2019
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