EXODUS COUNSELING CENTER, INC.
NPI 1871713628
Counselor - Mental Health in Glendale, WI
Active since April 26, 2007
5800 NORTH BAYSHORE DRIVE, SUITE B 204, GLENDALE, WI 53217(414) 964-4357(414) 964-4327 Get Directions Write a Review
About Exodus Counseling Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXODUS COUNSELING CENTER, INC. (NPI 1871713628) is a healthcare organization registered as a mental health in Glendale, Wisconsin and active in the NPI registry since April 2007. The organization lists Scott Stoner, Executive Director, as its authorized official.
NPPES Registry Identity
NPI1871713628
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEXODUS COUNSELING CENTER, INC.
Location Address5800 NORTH BAYSHORE DRIVE, SUITE B 204Glendale, WI 53217
Mailing Address5800 North Bayshore Dr, Suite B 204Glendale, WI 53217 · (414) 964-4357 · Fax (414) 964-4327
Phone(414) 964-4357
Fax(414) 964-4327
Organization SubpartNo
Authorized OfficialScott StonerExecutive Director · (414) 964-4357
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871713628 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · STATE MANDATED
5800 NORTH BAYSHORE DRIVE, Glendale, WI 53217
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871713628, enumerated as an "organization" on April 26, 2007.
The provider is located at 5800 NORTH BAYSHORE DRIVE SUITE B 204 GLENDALE, WI 53217 and the phone number is (414) 964-4357.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
