Provider Demographics
NPI:1316165590
Name:PARKVIEW COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:PARKVIEW COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:SHIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-529-3000
Mailing Address - Street 1:9910 W LAYTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-3363
Mailing Address - Country:US
Mailing Address - Phone:414-529-3000
Mailing Address - Fax:414-529-3585
Practice Address - Street 1:9910 W LAYTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-3363
Practice Address - Country:US
Practice Address - Phone:414-529-3000
Practice Address - Fax:414-529-3585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2483101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty