| Longevity Community Services Inc | |
|
121 E Silver Spring Dr Ste 202 Whitefish Bay WI 53217-4762 | |
| (262) 292-1018 | |
| Not Available |
| Full Name | Longevity Community Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 121 E Silver Spring Dr Ste 202, Whitefish Bay, Wisconsin |
| Authorized Official Name and Position | Mary Muhammad (FOUNDER) |
| Authorized Official Contact | 2622921018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Community Services Inc 121 E Silver Spring Dr Ste 202 Whitefish Bay WI 53217-4762 Ph: (262) 292-1018 | Longevity Community Services Inc 121 E Silver Spring Dr Ste 202 Whitefish Bay WI 53217-4762 Ph: (262) 292-1018 |
| NPI Number | 1083568570 |
|---|---|
| Provider Enumeration Date | 02/23/2026 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083568570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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