Healthcare Provider Details

I. General information

NPI: 1306720693
Provider Name (Legal Business Name): LA FOLLETTE THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2266 N PROSPECT AVE STE 304
MILWAUKEE WI
53202-6306
US

IV. Provider business mailing address

2266 N PROSPECT AVE STE 304
MILWAUKEE WI
53202-6306
US

V. Phone/Fax

Practice location:
  • Phone: 414-322-2807
  • Fax:
Mailing address:
  • Phone: 414-322-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH P LA FOLLETTE
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 414-322-2807