Acacia Clinic, Inc. is a Counselor Clinic in Milwaukee, Wisconsin. It is located at 6040 W Lisbon Ave, Suite 102, Milwaukee, WI and its contact number is 414-871-9111. The authorized person for Acacia Clinic, Inc. is Ms. Deidra Lee Kozlowski
who is President of the clinic and his/her contact number is 414-871-9111. The primary license number for Acacia Clinic, Inc. is 1066 (Clinical) in Wisconsin. Acacia Clinic, Inc. Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Acacia Clinic, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Acacia Clinic, Inc.
Specialization:
Mental Health Counselor
Clinic Address:
6040 W Lisbon Ave, Suite 102, Milwaukee, Wisconsin, 53210-2116
Phone:
414-871-9111
Fax:
414-871-9121
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Deidra Lee Kozlowski
Position:
President
Contact Number:
414-871-9111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Acacia Clinic, Inc. clinic are as mentioned below.
NPI Number:
1417988973
NPI Enumeration Date:
05 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Acacia Clinic, Inc. are as mentioned below.
Specialization
License Number
State
Status
Clinical
1066
Wisconsin
Primary
Mental Health
1066
Wisconsin
Secondary
Psychologist
1066
Wisconsin
Secondary
Clinical
1066
Wisconsin
Secondary
Counseling
1066
Wisconsin
Secondary
Clinical
1066
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
42167800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Acacia Clinic, Inc. 6040 W Lisbon Ave, Suite 102 Milwaukee, Wisconsin
Zip:
53210-2116
Phone Number:
414-871-9111
Fax Number:
414-871-9121
Patients can reach Acacia Clinic, Inc. at 6040 W Lisbon Ave, Suite 102, Milwaukee, Wisconsin or can call to book an appointment on 414-871-9111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.