MEDICARE: BRIANA ROBERTS

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	101YP2500X	Professional Counselor	12239-125	WI

General Provider Information

NPI Number	:	1932927118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA ROBERTS

Provider Business Mailing Address
First Line	:	13035 W BLUEMOUND RD STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-8001
Country	:	US
Telephone Number	:	262-223-6125
Fax Number	:

Provider Business Practice Location Address
First Line	:	384 W SUMNER ST
Second Line	:
City	:	HARTFORD
State	:	WI
Zip	:	53027-1421
Country	:	US
Telephone Number	:	262-223-6125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	12/15/2025

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Directions to “ BRIANA ROBERTS ” Practice Location

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