Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Acacia Clinic, Inc

Organization Mental Health Counselor · NPI 1417988973

Acacia Clinic, Inc provides Mental Health Counselor services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6040 W Lisbon Ave Ste 102
Milwaukee, WI 53210-2116
Phone: (414) 871-9111
Fax: (414) 871-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1066 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1066 (WI)
Psychologist Taxonomy 103T00000X · Licence 1066 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1066 (WI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 1066 (WI)

Record details

NPI number1417988973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deidra Kozlowski — President · (414) 871-9111
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address6040 W Lisbon Ave, Suite 102, Milwaukee, WI 53210-2116

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