Provider Demographics
NPI:1720134927
Name:BEVERLY K. YAHNKE DBA CHRISTIAN COUNSELING SVCS
Entity Type:Organization
Organization Name:BEVERLY K. YAHNKE DBA CHRISTIAN COUNSELING SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:YAHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-774-6770
Mailing Address - Street 1:2600 N MAYVAIR RD, PO BOX 26097
Mailing Address - Street 2:CHRISTIAN COUNSELING SERVICES SUITE 870
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1309
Mailing Address - Country:US
Mailing Address - Phone:414-774-6770
Mailing Address - Fax:414-774-3299
Practice Address - Street 1:2600 N MAYFAIR RD
Practice Address - Street 2:SUITE 870
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1309
Practice Address - Country:US
Practice Address - Phone:414-774-6770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEVERLY K. YAHNKE, PH.D. DBA CHRISTIAN COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-28
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1395057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty