Healthcare Provider Details

I. General information

NPI: 1780248039
Provider Name (Legal Business Name): LINDSEY A KRAUSS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5007 S HOWELL AVE STE 350
MILWAUKEE WI
53207-6159
US

IV. Provider business mailing address

5007 S HOWELL AVE STE 350
MILWAUKEE WI
53207-6159
US

V. Phone/Fax

Practice location:
  • Phone: 262-789-1191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16591-132
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8499-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: