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NPI Code Detail

MEDICARE: SARAH P GREIL MS, LPC, CSAC

MEDICARE: SARAH P GREIL MS, LPC, CSAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor15644-132WI
2101YP2500XProfessional Counselor4345-125WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184963159
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH P GREIL MS, LPC, CSAC
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE # MS 958
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 4855 S MOORLAND RD STE 150
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-7495
Country : US
Telephone Number : 414-425-5660
Fax Number : 414-425-9803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2013
Last Update Date : 10/18/2021

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