Deep Healing LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

DEEP HEALING LLC

Practice address

1841 N Prospect Ave
Milwaukee, WI 53202-1933

Phone

(414) 678-1558

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Ashly Marie Witkowiak, LCSW

Title

Co-Owner

Phone

(414) 899-0793

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Uhlenhake, LPC-IT

  • Professional Counselor
  • Lake Geneva, WI
  • NPI 1710879184
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1700443744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021933",
            "telephone_number": "414-678-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021933",
            "telephone_number": "414-678-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Wrigley Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Geneva",
            "state": "WI",
            "postal_code": "531472034",
            "country_code": "US",
            "telephone_number": "262-248-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEP HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "WITKOWIAK",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "414-899-0793",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041S0200X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Decleene
• Abigail Decook
• Jennifer Allison Dedering, PHARM.D.
• Dedicated Hearts LLC
• Colton Dee
• Rita Deering, PT
• Dees Medical Services LLC
• Austin Deets, MD
• Kelsey Anne Defenbaugh, PA-C
• Defense Finance & Actg Serv.

• Adolescent and Children Mental Health Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adolescent and Children Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.