Healthcare Provider Details

I. General information

NPI: 1174633119
Provider Name (Legal Business Name): BEHAVIORAL SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 E NEWPORT AVE SUITE 409
MILWAUKEE WI
53211-2984
US

IV. Provider business mailing address

PO BOX 11947
MILWAUKEE WI
53211-0947
US

V. Phone/Fax

Practice location:
  • Phone: 414-259-3900
  • Fax: 414-963-0000
Mailing address:
  • Phone: 414-259-3900
  • Fax: 414-963-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK GERHARD EBERHAGE
Title or Position: PRESIDENT
Credential: PHD
Phone: 414-259-3900