Acacia Mental Health Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1006 Issued in WI

Legal business name

ACACIA MENTAL HEALTH CLINIC LLC

Practice address

6040 W Lisbon Ave
# 204
Milwaukee, WI 53210-2116

Phone

(414) 871-9111

Fax

(414) 871-9121

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abe Freund

Title

Owner

Phone

(414) 871-9111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1144460940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 W. LISBON AVE.",
            "address_2": "# 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53210",
            "telephone_number": "414-871-9111",
            "fax_number": "414-871-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE",
            "address_2": "# 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-871-9111",
            "fax_number": "414-871-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-871-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elham Emad Ahmed Abushanab, M.D.
• Syed Abutalib
• Acacia Clinic, Inc.
• Acacia Mental Health
• Acacia Mental Health Clinic
• Academic & Family Services, LLC
• Academy of Learning and Leadership
• Access Comfort (Access, Inc)
• Access Mental Health Clinic LLC
• Access Recovery Mental Health Services

• Community/Behavioral Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.