Milwaukee Psychotherapy Collaborative
LBN: Milwaukee Psychotherapy Collaborative
Milwaukee Psychotherapy Collaborative is an health care organization with primary practice located at 9120 W Hampton Ave Ste 212 , Milwaukee WI 53225-4960. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Milwaukee Psychotherapy Collaborative can be contacted via phone (414) 367-9413, or through Smothers, David Brian via phone (414) 367-9413.
Contact Information
Primary practice address
9120 W Hampton Ave Ste 212
Milwaukee WI 53225-4960
Phone: (414) 367-9413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2973 | Wisconsin |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 303957 | Wisconsin |
Profile Details
| NPI number | 1760992788 |
|---|---|
| LBN Legal business name | Milwaukee Psychotherapy Collaborative |
| DBA Doing business as | |
| Authorized official | Smothers, David Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2017 |
| Last updated | Oct 4th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760992788 | NPPES |
| Wisconsin | MEDICAID | 100046393 | |
| Wisconsin | MEDICAID | 43599400 |
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