Healthcare Provider Details
I. General information
NPI: 1164358818
Provider Name (Legal Business Name): FAMILY MATTERS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1915 N MLK DR
MILWAUKEE WI
53212-3675
US
IV. Provider business mailing address
1915 N MLK DR
MILWAUKEE WI
53212-3675
US
V. Phone/Fax
- Phone: 414-793-8703
- Fax:
- Phone: 414-793-8703
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
APRIL
PATRICE
BENTLEY
Title or Position: OWNER
Credential:
Phone: 414-793-8703