Provider Demographics
NPI:1609520204
Name:OUR GENERATIONS INC.
Entity Type:Organization
Organization Name:OUR GENERATIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUCHITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-201-6964
Mailing Address - Street 1:1955 W. BROADWAY STE 104
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1603
Mailing Address - Country:US
Mailing Address - Phone:608-405-3002
Mailing Address - Fax:608-405-5107
Practice Address - Street 1:1955 W. BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-1603
Practice Address - Country:US
Practice Address - Phone:608-405-3002
Practice Address - Fax:608-405-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty