Organization
D & S HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TREACY (DIRECTOR)
(414) 265-0300
Entity
Organization
Contact information
Practice address
2568 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2710
(414) 265-0300
(414) 265-0200
Mailing address
2568 N 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
2555-125
WI
101YM0800X
Mental Health Counselor
Primary
2555-125
WI
101YP2500X
Professional Counselor
2555-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43585300
—
WI
Enumeration date
10/08/2009
Last updated
10/08/2009
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