MEDICARE: CENTRE FOR HUMAN FLOURISHING, LLC

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
1	103TC0700X	Clinical Psychologist	3197-57	WI

General Provider Information

NPI Number	:	1891190708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRE FOR HUMAN FLOURISHING, LLC

Provider Business Mailing Address
First Line	:	1363 N PROSPECT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-3007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1363 N PROSPECT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-3007
Country	:	US
Telephone Number	:	828-321-9900
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST/OWNER/MANAGER
Name	:	DR. DAWN R. NELSON
Credential	:	PSY.D., M.DIV.
Telephone Number	:	828-321-9900

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

Similar Medicare Providers

1891810602 — THE CENTRE FOR HUMAN FLOURISHING, P.L.L.C.
Practice Location Address:

239 E. CHICAGO ST. , #203
MILWAUKEE, WI
53202-3007

Practice Phone: 414-331-0952
Practice Fax:

1912133729 — DR. SARA M HEGERTY PH.D.
Practice Location Address:

1915 E KENWOOD BLVD
MILWAUKEE, WI
53211-3007

Practice Phone: 716-289-7459
Practice Fax:

1457007627 — ALIAZAY KNIGHT
Practice Location Address:

3007 W SAINT PAUL AVE
MILWAUKEE, WI
53208-4215

Practice Phone: 702-845-2262
Practice Fax:

1134836034 — HEGERTY PSYCHOLOGICAL SERVICES LLC
Practice Location Address:

1915 E KENWOOD BLVD
MILWAUKEE, WI
53211-3007

Practice Phone: 414-253-3256
Practice Fax:

1679310171 — ERIN M. CASSIDENTE CPM, LM
Practice Location Address:

800 E CLARKE ST
MILWAUKEE, WI
53212-3007

Practice Phone: 414-795-6302
Practice Fax: 844-972-1548

1922825769 — JASMINE BOVA GRAY
Practice Location Address:

1315 MARION AVE
SOUTH MILWAUKEE, WI
53172-3007

Practice Phone: 414-795-1710
Practice Fax:

Directions to “CENTRE FOR HUMAN FLOURISHING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.