Provider Demographics
NPI:1437172202
Name:IN FOCUS COUNSELING
Entity Type:Organization
Organization Name:IN FOCUS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:LODL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-241-8901
Mailing Address - Street 1:11501 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3466
Mailing Address - Country:US
Mailing Address - Phone:262-241-8901
Mailing Address - Fax:262-241-8907
Practice Address - Street 1:11501 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3466
Practice Address - Country:US
Practice Address - Phone:262-241-8901
Practice Address - Fax:262-241-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty