Organization
ALICE MACKEY LLC
Active
Other names
AM Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MACKEY (OWNER/PROVIDER)
(414) 409-3546
Entity
Organization
Contact information
Practice address
1126 S 70TH ST SUITE 121, WEST ALLIS, WI 53214
(414) 409-3546
Mailing address
2354 N 59TH ST, MILWAUKEE, WI 53210
(207) 522-1219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39732700
—
WI
Enumeration date
09/04/2017
Last updated
11/01/2017
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