Organization · NPI-2
A-Vian Psychotherapy
Clinic/Center, Mental Health (Including Community Mental Health Center) · Milwaukee, WI
NPI number1760890636
StatusActive
Last updated in NPPESJul 23, 2014
Details
- NPI
- 1760890636
- Entity type
- Organization (NPI-2)
- Legal business name
- A-Vian Psychotherapy
- Organization subpart
- No
- Enumeration date
- Jul 23, 2014
- Last updated
- Jul 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 4953-125 | WI | Yes |
Practice location
1840 N Farwell AveMilwaukee, WI 53202-1792
Phone 414-231-9533
Mailing address
1840 N Farwell AveMilwaukee, WI 53202-1792
Phone 414-231-9533
Authorized official
Cynthia Vian
Owner
4142139533
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