Individual
TRACY TREACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,, LPC, CADC-1
Contact information
Practice address
2568 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2710
(414) 265-0300
(414) 265-0200
Mailing address
2568 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2710
(414) 265-0300
(414) 265-0200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2555-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2555125
WI
101YM0800X
Mental Health Counselor
Primary
2555-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2161
PROVIDER # WISER CHOICE
WI
05
—
43585300
—
WI
Enumeration date
02/05/2007
Last updated
09/11/2025
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