Provider Demographics
NPI:1467015339
Name:FLEISCHMANN COUNSELING, LLC
Entity Type:Organization
Organization Name:FLEISCHMANN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEISCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CSAC, ICS
Authorized Official - Phone:920-418-4399
Mailing Address - Street 1:4560 N 161ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-1042
Mailing Address - Country:US
Mailing Address - Phone:920-418-4399
Mailing Address - Fax:
Practice Address - Street 1:925 ELM GROVE RD STE 303
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2572
Practice Address - Country:US
Practice Address - Phone:920-418-4399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)