Promise Counseling and Coaching LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PROMISE COUNSELING AND COACHING LLC.

Practice address

6114 W Capitol Dr Ste 305a
Milwaukee, WI 53216-2147

Phone

(414) 499-5765

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tia Lyzetta-Marie Sanders, MS, LPC-IT, SAC-ITNPI 1477103315

Title

Director

Phone

(414) 499-5765

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia L Sanders

  • Mental Health Counselor
  • Milwaukee, WI
  • NPI 1477103315
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1710608187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 W CAPITOL DR STE 305A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162147",
            "telephone_number": "414-499-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 W CAPITOL DR STE 305A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162147",
            "telephone_number": "414-499-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE COUNSELING AND COACHING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "LYZETTA-MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-499-5765",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC-IT, SAC-IT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.