Trillium Care Group LLC
Psychologist in Elm Grove, WI. Organization (NPI-2).
NPI number1477629640
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1477629640
- Entity type
- Organization (NPI-2)
- Legal business name
- Trillium Care Group LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2564 | WI | Yes |
| 1041C0700X | Social Worker, Clinical | 2564 | WI |
Practice location
500 Elm Grove RdSuite 100
Elm Grove, WI 53122
Phone 262-782-2090 · Fax 262-782-2092
Mailing address
500 Elm Grove RdSuite 100
Elm Grove, WI 53122
Phone 262-782-2090 · Fax 262-782-2092
Authorized official
Teresa C Ortiz
Clinical Director Psychotherapist
2627822090
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