Provider Demographics
NPI:1245081728
Name:MILWAUKEE MENTAL HEALTH AND CONSULTING , LLC
Entity type:Organization
Organization Name:MILWAUKEE MENTAL HEALTH AND CONSULTING , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-580-8495
Mailing Address - Street 1:3642 S 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-1004
Mailing Address - Country:US
Mailing Address - Phone:414-939-5690
Mailing Address - Fax:262-293-9777
Practice Address - Street 1:3642 S 35TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-1004
Practice Address - Country:US
Practice Address - Phone:414-939-5690
Practice Address - Fax:262-293-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty