Provider Demographics
NPI:1780748293
Name:RELATIONSHIP COMMUNICATION CENTER, INC.
Entity type:Organization
Organization Name:RELATIONSHIP COMMUNICATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:KUBICKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CADCIII
Authorized Official - Phone:262-786-0411
Mailing Address - Street 1:4245 S WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-6217
Mailing Address - Country:US
Mailing Address - Phone:262-786-0888
Mailing Address - Fax:
Practice Address - Street 1:1025 S MOORLAND RD STE 403
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6945
Practice Address - Country:US
Practice Address - Phone:262-786-0411
Practice Address - Fax:262-786-9954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI887-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty