Healthcare Provider Details

I. General information

NPI: 1043135809
Provider Name (Legal Business Name): RESTORATIVE PATHWAYS COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 N WATER ST STE 400
MILWAUKEE WI
53202-2603
US

IV. Provider business mailing address

1433 N WATER ST STE 400
MILWAUKEE WI
53202-2603
US

V. Phone/Fax

Practice location:
  • Phone: 262-273-4886
  • Fax:
Mailing address:
  • Phone: 262-273-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. ERICA JANINE JOHNSON
Title or Position: MANAGING MEMBER
Credential: APSW
Phone: 262-273-4886