Wild, Luke

Wild, Luke is an sole proprietor health care provider with primary practice located at 930 W Historic Mitchell St , Milwaukee WI 53204-3533. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wild, Luke can be contacted via phone (414) 383-9526.

Contact Information

Primary practice address
930 W Historic Mitchell St Milwaukee WI 53204-3533
Phone: (414) 383-9526
Fax: (414) 649-2711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6605-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6605-125 Wisconsin

Profile Details

NPI number 1619414513
LBN Legal business name Wild, Luke
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2017
Last updated Jul 2nd, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619414513 NPPES
Wisconsin MEDICAID 100064509
Wisconsin Other 1023064086

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