| River Of Life Counseling & Consulting Llc | |
|
216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 | |
| (414) 550-0659 | |
| (262) 242-1714 |
| Full Name | River Of Life Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 216 Green Bay Rd, Thiensville, Wisconsin |
| Authorized Official Name and Position | Pamela Franklin Elgin (PRESIDENT) |
| Authorized Official Contact | 4145500659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Of Life Counseling & Consulting Llc 216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 Ph: (414) 550-0659 | River Of Life Counseling & Consulting Llc 216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 Ph: (414) 550-0659 |
| NPI Number | 1891933743 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891933743 | NPI | - | NPPES |
| 40969700 | Other | WI | MEDICARE |
| 189-125 | Other | WI | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 189-125 (Wisconsin) | Primary |
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