Organization
MINDSTAR COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STARLETTE MARIE PATTERSON PHD (CLINIC ADMINISTRATOR)
(414) 435-1115
Entity
Organization
Contact information
Practice address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(414) 435-1115
(414) 435-0543
Mailing address
PO BOX 1115, MENOMONEE FALLS, WI 53052-1115
(414) 435-1115
(414) 435-0543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346579653
—
WI
Enumeration date
12/15/2009
Last updated
02/21/2023
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