Organization
METTA VISTA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS MACHAK MS, LPC (OWNER/LPC)
(414) 617-5143
Entity
Organization
Contact information
Practice address
10150 W NATIONAL AVE STE 204, WEST ALLIS, WI 53227-2145
(414) 617-5143
Mailing address
3929 E KLIEFORTH AVE, CUDAHY, WI 53110-3123
(414) 617-5143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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