Healthcare Provider Details

I. General information

NPI: 1922328368
Provider Name (Legal Business Name): MARKEENA L GILBERT MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E ENTERPRISE AVE STE 333
APPLETON WI
54913-7889
US

IV. Provider business mailing address

6508 S 27TH ST STE 9 #107
OAK CREEK WI
53154-1093
US

V. Phone/Fax

Practice location:
  • Phone: 262-228-8049
  • Fax:
Mailing address:
  • Phone: 262-228-8049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4548-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: