Doctor Name: | MRS. CARLA Q NEALY |
NPI Number: | 1861817611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-IT |
License Number: | 1638-226 |
Business Practice Address: | 1610 Miller Park Way West Milwaukee, WI - 532143604 |
Business Phone Number: | 4146723801 |
Business Fax Number: | 4146726026 |
Mailing Address: | 5164 N 62nd St, MILWAUKEE |
State: | WI |
Postal Code: | 532184119 |
Phone Number: | 4146723801 |
Fax Number: | 4146726026 |
NPI Enumeration Date: | 03/03/2014 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1638-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |