Organization
PROFESSIONAL SERVICES GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRAPENGIESER PSYD (CLINICAL DIRECTOR)
(262) 654-1004
Entity
Organization
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 654-6960
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
(262) 654-6960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42125700
—
WI
Enumeration date
01/05/2007
Last updated
06/13/2025
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