Healthcare Provider Details

I. General information

NPI: 1427649250
Provider Name (Legal Business Name): MARGARITE ALLAR SAC IT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 S 10TH ST
CUDAHY WI
53110-2412
US

IV. Provider business mailing address

4800 S 10TH ST
MILWAUKEE WI
53221-2412
US

V. Phone/Fax

Practice location:
  • Phone: 414-744-5370
  • Fax: 414-744-5370
Mailing address:
  • Phone: 414-744-5370
  • Fax: 414-744-9052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9315-226
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19341130
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: