Organization
MENTELLA OF WISCONSIN SC
Active
Other names
Mentella Health
Organization subpart
No
Provider details
NPI number
Authorized official
JILL VANCE PSYD (CEO)
(872) 205-0456
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 110-1113, CHICAGO, IL 60611-4546
(872) 205-0456
Mailing address
680 N LAKE SHORE DR STE 110-1113, CHICAGO, IL 60611-4546
(872) 205-0456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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