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Organization
BIRT SUPPORTIVE SERVICES LLC
Active
Organization
BIRT SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD BIRT LCSW, MBA (PSYCHOTHERAPIST)
(414) 522-6800
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR STE 105, MILWAUKEE, WI 53216-2056
(414) 522-6800
(414) 240-8497
Mailing address
4868 N 89TH ST, MILWAUKEE, WI 53225-4106
(414) 522-6800
(414) 240-8497
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
04/26/2022
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