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

Ellis E Miscavage

Individual provider Counselor · NPI 1497680938

Ellis E Miscavage is a Counselor in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

3505 N 124th St
Brookfield, WI 53005-2489
Phone: (414) 431-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 9089-226 (WI)

Record details

NPI number1497680938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address3505 N 124th St, Brookfield, WI 53005-2489

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