Organization
EMPYREAN VENTURES INC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KUEHL LCSW (CLINIC DIRECTOR)
(608) 556-0824
Entity
Organization
Contact information
Practice address
N14W23777 STONE RIDGE DR STE 290, WAUKESHA, WI 53188-1140
(608) 556-0824
Mailing address
N14W23777 STONE RIDGE DR STE 290, WAUKESHA, WI 53188-1140
(608) 556-0824
(262) 393-2462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/03/2024
Last updated
05/21/2025
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