Provider Demographics
NPI:1235984774
Name:THE COLOR OF THERAPY LLC
Entity Type:Organization
Organization Name:THE COLOR OF THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMINO MCCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:414-207-6688
Mailing Address - Street 1:12229 W MCSHANE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-2003
Mailing Address - Country:US
Mailing Address - Phone:414-207-6688
Mailing Address - Fax:
Practice Address - Street 1:12229 W MCSHANE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-2003
Practice Address - Country:US
Practice Address - Phone:414-207-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty