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

Professional Services Group, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1124104740

Professional Services Group, Inc is an Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
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

800 Goold St
Racine, WI 53402-4567
Phone: (262) 638-2000
Fax: (262) 638-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2657 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2657 (WI)

Record details

NPI number1124104740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Wolf — Clinical Director · (262) 652-2406
NPI enumeratedOctober 27, 2006
Last updated in NPPESJune 30, 2008
Mailing address6233 39th Ave, Kenosha, WI 53142-7015

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