Healthcare Provider Details

I. General information

NPI: 1194630418
Provider Name (Legal Business Name): EMPATHY IN PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N8328 TAYLOR RD
WHITEWATER WI
53190-3764
US

IV. Provider business mailing address

PO BOX 5
WHITEWATER WI
53190-0005
US

V. Phone/Fax

Practice location:
  • Phone: 262-729-0153
  • Fax:
Mailing address:
  • Phone: 262-729-0153
  • Fax:

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 State

VIII. Authorized Official

Name: KATHRYN MATTINGLY
Title or Position: OWNER
Credential: LPC, ICS, CSAC
Phone: 262-729-0153