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NPI Code Detail

MEDICARE: OZAUKEE FAMILY SERVICES

MEDICARE: OZAUKEE FAMILY SERVICES
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1578497483
Entity Type Code : Organization
Provider Name (Legal Business Name) : OZAUKEE FAMILY SERVICES
Provider Business Mailing Address
First Line : 4922 COLUMBIA RD
Second Line :
City : CEDARBURG
State : WI
Zip : 53012-9188
Country : US
Telephone Number : 262-376-7774
Fax Number :
Provider Business Practice Location Address
First Line : 4922 COLUMBIA RD
Second Line :
City : CEDARBURG
State : WI
Zip : 53012-9188
Country : US
Telephone Number : 262-376-7774
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : LEAH KEVAL
Credential : LCSW
Telephone Number : 262-376-7774
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “OZAUKEE FAMILY SERVICES ” Practice Location

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