Provider Demographics
NPI:1669029799
Name:ASPIRE PROFESSIONAL COUNSELING SERVICES OF MILWAUKEE, LLC
Entity Type:Organization
Organization Name:ASPIRE PROFESSIONAL COUNSELING SERVICES OF MILWAUKEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SEMERAU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MA, LPC
Authorized Official - Phone:414-639-2157
Mailing Address - Street 1:315 N 95TH ST APT 241
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4471
Mailing Address - Country:US
Mailing Address - Phone:414-639-2157
Mailing Address - Fax:414-539-6956
Practice Address - Street 1:315 N 95TH ST APT 241
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4471
Practice Address - Country:US
Practice Address - Phone:414-639-2157
Practice Address - Fax:414-539-6956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health