Provider Demographics
NPI:1831538537
Name:STAR CONSULTING & ASSOCIATES, LLC, STAR CONSULTING FOR THE WORKPLACE
Entity type:Organization
Organization Name:STAR CONSULTING & ASSOCIATES, LLC, STAR CONSULTING FOR THE WORKPLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSMBALPCNCCBCC
Authorized Official - Phone:414-704-2104
Mailing Address - Street 1:PO BOX 510711
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-0121
Mailing Address - Country:US
Mailing Address - Phone:414-704-2104
Mailing Address - Fax:888-731-8368
Practice Address - Street 1:611 N MAYFAIR RD
Practice Address - Street 2:UPPER LEVEL
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4248
Practice Address - Country:US
Practice Address - Phone:414-704-2104
Practice Address - Fax:888-731-8368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI659125101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty