Provider Demographics
NPI:1841438769
Name:COUNSELING & TRANSITION CENTER INC
Entity type:Organization
Organization Name:COUNSELING & TRANSITION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:THERON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-881-8288
Mailing Address - Street 1:3073 S. CHASE AVE
Mailing Address - Street 2:SUITE 326
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207
Mailing Address - Country:US
Mailing Address - Phone:414-881-8288
Mailing Address - Fax:414-289-1175
Practice Address - Street 1:3073 S. CHASE AVE
Practice Address - Street 2:SUITE 326
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207
Practice Address - Country:US
Practice Address - Phone:414-881-8288
Practice Address - Fax:414-289-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)