Provider Demographics
NPI:1346065216
Name:EVIDENCE-BASED COUNSELING SOLUTIONS LLC
Entity type:Organization
Organization Name:EVIDENCE-BASED COUNSELING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:EZEKIEL
Authorized Official - Last Name:MUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:262-309-1882
Mailing Address - Street 1:15350 W NATIONAL AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5158
Mailing Address - Country:US
Mailing Address - Phone:262-309-1882
Mailing Address - Fax:262-910-5477
Practice Address - Street 1:15350 W NATIONAL AVE STE 108
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5158
Practice Address - Country:US
Practice Address - Phone:262-309-1882
Practice Address - Fax:262-910-5477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty