Healthcare Provider Details

I. General information

NPI: 1003799776
Provider Name (Legal Business Name): EMBRACE ME COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 W BELOIT RD STE 401
MILWAUKEE WI
53227-4357
US

IV. Provider business mailing address

9401 W BELOIT RD STE 203
MILWAUKEE WI
53227-4357
US

V. Phone/Fax

Practice location:
  • Phone: 414-380-3001
  • Fax: 414-488-8444
Mailing address:
  • Phone: 414-380-3001
  • Fax: 414-488-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAWANDA CHAMBERS
Title or Position: EXECUTIVE DIRECTOR
Credential: NCC, CCMHC, LPC, SAC
Phone: 414-380-3001