Organization
APPLIED THERAPIES & WELLNESS CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISHA WOLLIN LCSW, RPT-S (OWNER/REGISTERED AGENT)
(414) 302-1233
Entity
Organization
Contact information
Practice address
150 N. SUNNYSLOPE RD. STE 372, BROOKFIELD, WI 53005-4806
(414) 302-1233
(262) 788-9662
Mailing address
150 N. SUNNYSLOPE RD. STE 372, BROOKFIELD, WI 53005-4806
(414) 302-1233
(262) 788-9662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6747-123
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356569115
—
WI
Enumeration date
04/24/2007
Last updated
03/20/2024
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