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GENEVA FULLER SAC-IT
NPI 1235846254
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Active since October 31, 2022
1610 MILLER PARK WAY, MILWAUKEE, WI 53214(414) 672-3801 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Geneva Fuller Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENEVA FULLER SAC-IT (NPI 1235846254) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (19603-130) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1235846254
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGENEVA FULLERCredential: SAC-IT
Location Address1610 MILLER PARK WAYMilwaukee, WI 53214-3604
Mailing Address1610 Miller Park WayMilwaukee, WI 53214-3604 · (414) 672-3801
Phone(414) 672-3801
Sole ProprietorYes
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
✔ NPI 1235846254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 19603-130
1610 MILLER PARK WAY, Milwaukee, WI 53214
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KARMEN W SELTZ LPC, CADC III
Counselor
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (262) 672-3801
KATHY SCHAUBLE CSAC
Counselor
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (414) 672-6026
QUALITY ADDICTION MANAGEMENT
Clinic/Center (Methadone)
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
JEFFREY L TAYLOR SR. CSAC
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (262) 549-6600
MICHAEL T SAUTER SAC-IT
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (262) 549-6600
MS. TRACI ANN STRAIT RN
Registered Nurse (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
REGINA HUNTER MSE,CSAC
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
BRENDA L BRYANT 32060-31
Licensed Practical Nurse
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (262) 549-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geneva Fuller's NPI number?

The NPI number for Geneva Fuller is 1235846254. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Geneva Fuller located?

Geneva Fuller practices at 1610 Miller Park Way, Milwaukee, WI 53214. The listed phone number is (414) 672-3801.

What is Geneva Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Geneva Fuller was last updated on October 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.