Healthcare Provider Details

I. General information

NPI: 1033495114
Provider Name (Legal Business Name): CATILLIA SHAMELL SEARCY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 N 13TH ST
MILWAUKEE WI
53205-2515
US

IV. Provider business mailing address

3873 N 23RD ST
MILWAUKEE WI
53206-1915
US

V. Phone/Fax

Practice location:
  • Phone: 414-839-7260
  • Fax:
Mailing address:
  • Phone: 414-839-7260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15832-130
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4684-125
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4684-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: