| Imani Counseling Services Llc | |
|
13500 W Capitol Dr Suite 104 Brookfield WI 53005-2444 | |
| (414) 737-1820 | |
| (414) 455-5405 |
| Full Name | Imani Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13500 W Capitol Dr, Brookfield, Wisconsin |
| Authorized Official Name and Position | Kia Andrea Holloway (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 4147371820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Counseling Services Llc 13500 W Capitol Dr Suite 104 Brookfield WI 53005-2444 Ph: (414) 737-1820 | Imani Counseling Services Llc 13500 W Capitol Dr Suite 104 Brookfield WI 53005-2444 Ph: (414) 737-1820 |
| NPI Number | 1851738009 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851738009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 413-7125 (Wisconsin) | Primary |
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