MEDICARE: RELEVANCE COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	4056125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396065546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELEVANCE COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	3635 W OKLAHOMA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4119
Country	:	US
Telephone Number	:	414-384-6777
Fax Number	:	414-384-8001

Provider Business Practice Location Address
First Line	:	3635 W OKLAHOMA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4119
Country	:	US
Telephone Number	:	414-384-6777
Fax Number	:	414-384-8001

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EDWIN MALDONADO
Credential	:
Telephone Number	:	414-384-6777

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/09/2010

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