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General NPI Number Information
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NPI Number | 1821561747
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Entity Type | Organization
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Legal Business Name | STRIVE COUNSELING MILWAUKEE LLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 5225 N IRONWOOD RD STE 118
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City | GLENDALE
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State | WI
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Zip | 53217-4909
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Country | US
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Telephone | 414-253-7732
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Fax | 414-206-3188
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Provider Business Mailing Address
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Address Line | 5225 N IRONWOOD RD STE 118
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City | GLENDALE
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State | WI
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Zip | 53217-4909
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Country | US
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Telephone | 414-253-7732
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Fax | 414-206-3188
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN LATHERS
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Credential | LPC, CSAC, ICS
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Telephone | 414-253-7732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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