Organization
MARLA MENTAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA MILDRED HAHAGA NP (OWNER)
(414) 773-4312
Entity
Organization
Contact information
Practice address
5330 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(262) 292-4777
(262) 518-7025
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100141629
—
WI
01
—
1255598140
FAMILY MEDICINE
WI
Enumeration date
10/13/2020
Last updated
04/22/2021
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