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General NPI Number Information
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NPI Number | 1942682620
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Entity Type | Organization
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Legal Business Name | MIRACLE COUNSELING LLC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8440 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53227-1734
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Country | US
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Telephone | 414-405-1682
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Fax | 414-979-6449
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Provider Business Mailing Address
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Address Line | 8440 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53227-1734
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Country | US
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Telephone | 414-405-1682
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Fax | 414-979-6449
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Authorized Official
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Title or Position | OWNER
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Name | MIRTA CABRERA
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Credential |
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Telephone | 920-889-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | WI
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