Westlake Clinic, Llc | |
10533 W National Ave Suite 300 West Allis WI 53227-2041 | |
(414) 327-5200 | |
(414) 327-5400 |
Full Name | Westlake Clinic, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10533 W National Ave, West Allis, Wisconsin |
Authorized Official Name and Position | Jessica Joan Suhr (OWNER AND PSYCHOTHERAPIST) |
Authorized Official Contact | 4143275200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westlake Clinic, Llc 10533 W National Ave Suite 300 West Allis WI 53227-2041 Ph: (414) 327-5200 | Westlake Clinic, Llc 10533 W National Ave Suite 300 West Allis WI 53227-2041 Ph: (414) 327-5200 |
NPI Number | 1578523775 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578523775 | NPI | - | NPPES |
2395 | Other | WI | OUTPAT MENTLHEALTH CLINIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2395 (Wisconsin) | Primary |
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