Provider Demographics
NPI:1164442471
Name:BECK, EMBER (LPC)
Entity Type:Individual
Prefix:
First Name:EMBER
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 N JANACEK RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-6102
Mailing Address - Country:US
Mailing Address - Phone:262-641-9050
Mailing Address - Fax:262-641-9126
Practice Address - Street 1:8200 W BROWN DEER RD
Practice Address - Street 2:SUITE 300A
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-1706
Practice Address - Country:US
Practice Address - Phone:414-362-8147
Practice Address - Fax:414-362-7198
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3318-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43570900Medicaid