Organization
CHILDREN'S MEDICAL GROUP, INC
Active
Parent organization
CHILDREN'S MEDICAL GROUP, INC.
Other names
Milwaukee Mental Health Connections Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S MEDICAL GROUP, INC.
Authorized official
AMY HERBST (VP, BEHAVIORAL AND MENTAL HEALTH)
(414) 231-4848
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE STE 165, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
04/08/2025
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