Provider Demographics
NPI:1588447684
Name:THE UPSIDE OF PARENTING, LLC
Entity type:Organization
Organization Name:THE UPSIDE OF PARENTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-865-8098
Mailing Address - Street 1:6001 W CAPITOL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2155
Mailing Address - Country:US
Mailing Address - Phone:414-865-8098
Mailing Address - Fax:
Practice Address - Street 1:6001 W CAPITOL DR STE 200
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2155
Practice Address - Country:US
Practice Address - Phone:414-865-8098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management