Organization
TRILLIUM CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA C ORTIZ LCSW (CLINICAL DIRECTOR PSYCHOTHERAPIST)
(262) 782-2090
Entity
Organization
Contact information
Practice address
500 ELM GROVE RD, SUITE 100, ELM GROVE, WI 53122
(262) 782-2090
(262) 782-2092
Mailing address
500 ELM GROVE RD, SUITE 100, ELM GROVE, WI 53122
(262) 782-2090
(262) 782-2092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2564
WI
1041C0700X
Clinical Social Worker
2564
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42238700
—
WI
Enumeration date
11/28/2006
Last updated
09/11/2025
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