Provider Demographics
NPI:1154469773
Name:PASTORAL COUNSELING SERVICE
Entity type:Organization
Organization Name:PASTORAL COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:414-453-6960
Mailing Address - Street 1:2825 N MAYFAIR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-4406
Mailing Address - Country:US
Mailing Address - Phone:414-453-6960
Mailing Address - Fax:414-453-7080
Practice Address - Street 1:2825 N MAYFAIR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4406
Practice Address - Country:US
Practice Address - Phone:414-453-6960
Practice Address - Fax:414-453-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty