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Organization

CURRENT INITIATIVES COUNSELING SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LASHAWNDA DAVIS PSYCHOTHERAPIST (DIRECTOR)
(414) 616-8805
Entity
Organization

Contact information

Practice address
6815 W CAPITOL DR, #311, MILWAUKEE, WI 53216-2070
(414) 616-8805
(414) 616-2296
Mailing address
6815 W CAPITOL DR, #311, MILWAUKEE, WI 53216-2070
(414) 616-8805
(414) 616-2296

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2491
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42233800
WI
05
42233821
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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