Healthcare Provider Details

I. General information

NPI: 1447149216
Provider Name (Legal Business Name): STEPHANIE RENEE CHOJNACKI LPC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 W FLORIDA ST STE 311
MILWAUKEE WI
53204-1684
US

IV. Provider business mailing address

1021 E MANITOBA ST
MILWAUKEE WI
53207-2444
US

V. Phone/Fax

Practice location:
  • Phone: 414-207-9892
  • Fax: 262-254-7664
Mailing address:
  • Phone: 414-336-8786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8485226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: