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:
Map and Directions
Authorized official contact:
Name: Smothers, David Brian
Phone: (414) 367-9413

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760992788 NPPES
Wisconsin MEDICAID 100046393
Wisconsin MEDICAID 43599400

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