D & S HEALING CENTER NPI 1790010718

NPI Information

NPI: 1790010718
Provider Name: D & S HEALING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2568 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212
Phone: (414) 265-0300
Get Directions

D & S HEALING CENTER is a mental health counselor in Milwaukee, WI. D & S HEALING CENTER NPI is 1790010718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2568 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212-710
Phone: (414) 265-0300
Fax: (414) 265-0200

The provider's authorized official is Tracy Treacy .
The authorized official title is Director and has the following contact phone number (414) 265-0300.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2555-125	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2555-125	WISCONSIN	No
3	101YP2500X	Counselor	Professional	2555-125	WISCONSIN	No
4	101YM0800X	Counselor	Mental Health	2555-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43585300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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