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 is a Mental Health Counselor 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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