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General NPI Number Information
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NPI Number | 1447687066
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Entity Type | Organization
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Legal Business Name | RIVERSTONE COUNSELING & CRISIS SERVICES, LLC
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 8018 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53222-1906
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Country | US
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Telephone | 414-559-8864
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Fax |
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Provider Business Mailing Address
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Address Line | 8018 W CAPITOL DR UNIT 6
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City | MILWAUKEE
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State | WI
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Zip | 53222-1906
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Country | US
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Telephone | 414-559-8864
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/THERAPIST
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Name | SARA J NEWMAN
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Credential | LCSW
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Telephone | 414-559-8864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3101
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8016-123
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License Number State | WI
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