MEDICARE: MS. VIVIAN MARIE HOUSTON M.S.

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	101YM0800X	Mental Health Counselor	144417304	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12553874	OTHER	WI	COUNSELING, MARRIAGE & FAMILY THERAPY, GROUP THERAPY, AODA

General Provider Information

NPI Number	:	1356582928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIVIAN MARIE HOUSTON M.S.

Provider Business Mailing Address
First Line	:	4243A N 19TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-6829
Country	:	US
Telephone Number	:	414-357-7774
Fax Number	:

Provider Business Practice Location Address
First Line	:	6815 W CAPITOL DR STE 208
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2056
Country	:	US
Telephone Number	:	414-466-3204
Fax Number	:	414-466-3206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	04/09/2009

Similar Medicare Providers

1457937500 — MR. REGINALD JEROME BELL SR. CSAC, ADC-SUD, LPCIT
Practice Location Address:

6815 W CAPITOL DR STE 117
MILWAUKEE, WI
53216-2056

Practice Phone: 414-573-5799
Practice Fax:

1194835140 — LAWRENCE E CURRIE PHD SC
Practice Location Address:

6815 W CAPITOL DR STE 203
MILWAUKEE, WI
53216-2056

Practice Phone: 414-354-3809
Practice Fax:

1750557773 — MRS. PAMELA M HANSEN MSW
Practice Location Address:

6815 W CAPITOL DR STE 304
MILWAUKEE, WI
53216-2056

Practice Phone: 414-460-6995
Practice Fax: 414-355-5467

1144489261 — NICOLE L. JACKSON CSAC, ICS, LPC-IT
Practice Location Address:

6815 W CAPITOL DR STE 304
MILWAUKEE, WI
53216-2056

Practice Phone: 414-604-6488
Practice Fax:

1407084163 — MRS. KIMBERLY L WATTS-HOWELL BS
Practice Location Address:

6815 W CAPITOL DR STE 208
MILWAUKEE, WI
53216-2056

Practice Phone: 414-466-3204
Practice Fax: 414-466-3206

1710209770 — MISS BARBARA LEE DEBERRY LCSW
Practice Location Address:

6815 W CAPITOL DR , STE 118
MILWAUKEE, WI
53216-2056

Practice Phone: 414-416-1032
Practice Fax:

Directions to “ MS. VIVIAN MARIE HOUSTON M.S.” 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 © 2007-2026 (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.