Provider Demographics
NPI:1437650785
Name:LOUIS LIFE COUNSELING LLC
Entity Type:Organization
Organization Name:LOUIS LIFE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:920-450-6198
Mailing Address - Street 1:3567 W TURTLE RAPIDS LN
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:WI
Mailing Address - Zip Code:54547-9800
Mailing Address - Country:US
Mailing Address - Phone:920-450-6198
Mailing Address - Fax:
Practice Address - Street 1:3567 W TURTLE RAPIDS LN
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:WI
Practice Address - Zip Code:54547-9800
Practice Address - Country:US
Practice Address - Phone:920-450-6198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health