Healthcare Provider Details

I. General information

NPI: 1508513466
Provider Name (Legal Business Name): EMPLOYABILITY EMPLOYMENT AND HOUSING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 INTERNATIONAL LN STE 105
MADISON WI
53704-3126
US

IV. Provider business mailing address

2701 INTERNATIONAL LN STE 105
MADISON WI
53704-3126
US

V. Phone/Fax

Practice location:
  • Phone: 608-709-1034
  • Fax: 855-815-0053
Mailing address:
  • Phone: 608-709-1034
  • Fax: 855-815-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA L MITCHELL
Title or Position: DIRECTOR/FOUNDER
Credential: LCSW
Phone: 608-709-1034