Center For Life & Loss Integration in Monona - Mental Health
Center For Life & Loss Integration - NPI 1073780961
Center For Life & Loss Integration is a Mental Health in Monona, Wisconsin. Center For Life & Loss Integration practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Center For Life & Loss Integration is 1073780961. The last update date is 2008-05-11.
Center For Life & Loss Integration's current location address is 4123 Monona Dr, Monona, Wisconsin. You can contact this provider via phone number 6082587771 and fax number 6088326486. The mailing address for Center For Life & Loss Integration is 4123 Monona Dr, Monona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Life & Loss Integration |
|---|---|
| Address | 4123 Monona Dr, Monona, Wisconsin |
| Phone Number | 6082587771 |
| Fax Number | 6088326486 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Koeppl F. Judith |
| Credentials | ACSW CICSW |
| Telephone Number | 6082587771 |
NPI Number Detail
| NPI Number | 1073780961 |
|---|---|
| Provider Enumeration Date | 2008-05-11 |
| Last Updated Date | 2008-05-11 |
Provider Mailing Address Detail
| Address | 4123 Monona Dr |
|---|---|
| City | Monona |
| State | Wisconsin (WI) |
| Post Code | 537161661 |
| Phone Number | 6082587771 |
| Fax Number | 6088326486 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1842123 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42245700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Center For Life & Loss Integration by the Centers for Medicare & Medicaid Services?
The Center For Life & Loss Integration has been assigned the NPI (National Provider Identifier) 1073780961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Center For Life & Loss Integration?
The Center For Life & Loss Integration is physically situated at 4123 Monona Dr, in the city of Monona, state of WI, with the postal code 537161661.
What is the area of specialization for Center For Life & Loss Integration, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Center For Life & Loss Integration is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Center For Life & Loss Integration receive its 1073780961 assignment from the Centers for Medicare & Medicaid Services?
The Center For Life & Loss Integration was assigned its 1073780961 by the Centers for Medicare & Medicaid Services on 2008-05-11.
As of what date were the details related to Center For Life & Loss Integration most recently updated or revised?
The information pertaining to Center For Life & Loss Integration, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-11.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA