Provider Demographics
NPI:1982357075
Name:BRIGGS, LQUISHA S
Entity Type:Individual
Prefix:
First Name:LQUISHA
Middle Name:S
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8827 W ACACIA ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-5327
Mailing Address - Country:US
Mailing Address - Phone:262-606-0500
Mailing Address - Fax:
Practice Address - Street 1:8827 W ACACIA ST
Practice Address - Street 2:
Practice Address - City:MIWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-5327
Practice Address - Country:US
Practice Address - Phone:262-606-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty