MEDICARE: KENNETH GINLACK SR CONSULTING SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1891359576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNETH GINLACK SR CONSULTING SERVICES LLC

Provider Business Mailing Address
First Line	:	3927 S HOWELL AVE STE 102
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-4421
Country	:	US
Telephone Number	:	414-600-4823
Fax Number	:

Provider Business Practice Location Address
First Line	:	3927 S HOWELL AVE STE 102
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-4421
Country	:	US
Telephone Number	:	414-600-4823
Fax Number	:

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	MR. KENNETH GINLACK SR.
Credential	:	LCSW,CSAC,ICS
Telephone Number	:	414-236-0083

Provider Enumeration Date	:	04/27/2019
Last Update Date	:	04/27/2019

Similar Medicare Providers

1891705323 — DR. TIMOTHY DEPLEDGE D.D.S.
Practice Location Address:

3967 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 414-744-5800
Practice Fax:

1891244588 — AZIZA DAHER LPC
Practice Location Address:

3927 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 844-458-4210
Practice Fax: 414-247-9004

1649700451 — DR. JOSE LUIS RUIZ DMD
Practice Location Address:

3967 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 414-744-5800
Practice Fax:

1053882373 — ZENA COUNSELING CENTER OF MILWAUKEE LLC
Practice Location Address:

3927 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 844-458-4201
Practice Fax: 414-247-9004

1023601499 — CHRISTINA L WILLIAMS PCT
Practice Location Address:

3927 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 414-578-9991
Practice Fax:

1134870827 — MR. JAMAL-EDDIN DAHER PA-C
Practice Location Address:

3927 S HOWELL AVE
MILWAUKEE, WI
53207-4421

Practice Phone: 414-295-9611
Practice Fax:

Directions to “KENNETH GINLACK SR CONSULTING SERVICES LLC ” 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.