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NPI Code Detail

MEDICARE: AUSTIN J KWIAT LPC-IT

MEDICARE: AUSTIN J KWIAT LPC-IT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8996-226WI

General Provider Information

NPI Number : 1467385849
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN J KWIAT LPC-IT
Provider Business Mailing Address
First Line : 353 FOREST GROVE DR STE 100
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-3765
Country : US
Telephone Number : 262-470-9131
Fax Number : 262-691-2972
Provider Business Practice Location Address
First Line : 353 FOREST GROVE DR STE 100
Second Line :
City : PEWAUKEE
State : WI
Zip : 53072-3765
Country : US
Telephone Number : 262-470-9131
Fax Number : 262-691-2972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ AUSTIN J KWIAT LPC-IT” Practice Location

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