Healthcare Provider Details

I. General information

NPI: 1588550370
Provider Name (Legal Business Name): AUBRIE KALIN GORSKI LPC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10045 W LISBON AVE
WAUWATOSA WI
53222-2446
US

IV. Provider business mailing address

2340 N CRAMER ST UNIT 410
MILWAUKEE WI
53211-4382
US

V. Phone/Fax

Practice location:
  • Phone: 414-358-7144
  • Fax:
Mailing address:
  • Phone: 920-370-0609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8459-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: