MEDICARE: CENTERED THERAPY MKE, LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841130341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERED THERAPY MKE, LLC

Provider Business Mailing Address
First Line	:	930 E KNAPP ST STE 31
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2800
Country	:	US
Telephone Number	:	414-436-1340
Fax Number	:	414-751-6981

Provider Business Practice Location Address
First Line	:	930 E KNAPP ST STE 31
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2800
Country	:	US
Telephone Number	:	414-436-1340
Fax Number	:	414-751-6981

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	REBEKAH SANDELL
Credential	:	LPC
Telephone Number	:	414-436-1340

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/06/2026

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