Adkins, Marcella Syville
Adkins, Marcella Syville is an sole proprietor health care provider with primary practice located at 6001 W Center St Suite 208, Milwaukee WI 53210-2154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Adkins, Marcella Syville can be contacted via phone (414) 393-1099.Contact Information
Primary practice address
6001 W Center St Suite 208
Milwaukee WI 53210-2154
Phone: (414) 393-1099
Fax: (414) 393-7993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4059-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14841-130 | Wisconsin |
Profile Details
| NPI number | 1659404309 |
|---|---|
| LBN Legal business name | Adkins, Marcella Syville |
| Credentials | LPC, SAC-IT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Oct 26th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659404309 | NPPES |
| Wisconsin | MEDICAID | 43725300 |
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