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

Teen Moms Wellness Pncc, LLC

Organization Case Management Agency · NPI 1922751353

Teen Moms Wellness Pncc, LLC is a Case Management Agency in Milwaukee, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9713 W Lisbon Ave
Milwaukee, WI 53222-2533
Phone: (414) 630-4463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1922751353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Hatchett — Ceo · (262) 218-1249
NPI enumeratedJanuary 26, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address9713 W Lisbon Ave, Milwaukee, WI 53222-2533

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