Healthcare Provider Details

I. General information

NPI: 1215802426
Provider Name (Legal Business Name): ERICA N STREBIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA N PETERSEN

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2814 S 108TH ST UNIT A
WEST ALLIS WI
53227-3224
US

IV. Provider business mailing address

8444 N 90TH ST STE 100
SCOTTSDALE AZ
85258-4437
US

V. Phone/Fax

Practice location:
  • Phone: 414-885-3525
  • Fax:
Mailing address:
  • Phone: 602-248-8886
  • Fax: 480-687-7361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17209
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: