MEDICARE: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC

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
1	261QM0850X	Adult Mental Health Clinic/Center	2400	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1235112020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC

Provider Business Mailing Address
First Line	:	7635 W OKLAHOMA AVE
Second Line	:	#104
City	:	MILWAUKEE
State	:	WI
Zip	:	53219-3600
Country	:	US
Telephone Number	:	414-541-3624
Fax Number	:	414-541-0063

Provider Business Practice Location Address
First Line	:	7635 W OKLAHOMA AVE
Second Line	:	#104
City	:	MILWAUKEE
State	:	WI
Zip	:	53219-3600
Country	:	US
Telephone Number	:	414-541-3624
Fax Number	:	414-541-3624

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. GARY D HOWLEY
Credential	:	MSW, LCSW
Telephone Number	:	414-769-3616

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1174544035 — ROBERT COOPER MD
Practice Location Address:

7635 W OKLAHOMA AVE , SUITE #202
MILWAUKEE, WI
53219-3600

Practice Phone: 414-327-9152
Practice Fax:

1720105877 — GLASSMAN & STANIK CONSULTING PSYCHOLOGISTS, LLC
Practice Location Address:

7635 W OKLAHOMA AVE , SUITE 201
MILWAUKEE, WI
53219-3600

Practice Phone: 414-444-9811
Practice Fax: 414-444-9822

1063609584 — INNOVATIVE PSYCHOLOGY SERVICES, LLC
Practice Location Address:

7635 W OKLAHOMA AVE , SUITE 214
MILWAUKEE, WI
53219-3600

Practice Phone: 414-732-3172
Practice Fax: 414-386-4632

1023284114 — DIANA L COOPER RN
Practice Location Address:

7635 W OKLAHOMA AVE , SUITE 202
MILWAUKEE, WI
53219-3600

Practice Phone: 414-327-9152
Practice Fax:

1033340294 — DIGITRACE CARE SERVICES
Practice Location Address:

7635 W OKLAHOMA AVE , 105
MILWAUKEE, WI
53219-3600

Practice Phone: 414-543-0554
Practice Fax:

1407159692 — PATRICK A. KRZYZEWSKI, D.P.M.
Practice Location Address:

7635 W OKLAHOMA AVE , SUITE 110
MILWAUKEE, WI
53219-3600

Practice Phone: 414-546-3100
Practice Fax: 414-546-1881

Directions to “CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.