Provider Demographics
NPI:1679362446
Name:HARRINGTON, MYKAELA RYAN
Entity type:Individual
Prefix:
First Name:MYKAELA
Middle Name:RYAN
Last Name:HARRINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 S MOUND ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-1333
Mailing Address - Country:US
Mailing Address - Phone:262-443-3190
Mailing Address - Fax:
Practice Address - Street 1:2255 S MOUND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-1333
Practice Address - Country:US
Practice Address - Phone:262-443-3190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional