Provider Demographics
NPI:1356402291
Name:ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC
Entity type:Organization
Organization Name:ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:414-453-8380
Mailing Address - Street 1:1011 N MAYFAIR RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3431
Mailing Address - Country:US
Mailing Address - Phone:414-453-8380
Mailing Address - Fax:414-443-1635
Practice Address - Street 1:1011 N MAYFAIR RD
Practice Address - Street 2:SUITE 304
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3431
Practice Address - Country:US
Practice Address - Phone:414-453-8380
Practice Address - Fax:414-443-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3882-125101YM0800X
WI2900-125101YP2500X
WI3047-125101YP2500X
WI2842-057103TC0700X
WI1472-1231041C0700X
WI7088-1231041C0700X
WI7527-1231041C0700X
WI21131-020174400000X, 2084P0800X
WI2959-123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42176700Medicaid
WI42176700Medicaid