Organization
WESTLAKE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA JOAN SUHR LCSW (OWNER AND PSYCHOTHERAPIST)
(414) 327-5200
Entity
Organization
Contact information
Practice address
10533 W NATIONAL AVE, SUITE 300, WEST ALLIS, WI 53227-2041
(414) 327-5200
(414) 327-5400
Mailing address
10533 W NATIONAL AVE, SUITE 300, WEST ALLIS, WI 53227-2041
(414) 327-5200
(414) 327-5400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2395
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2395
OUTPAT MENTLHEALTH CLINIC
WI
Enumeration date
03/23/2006
Last updated
08/22/2020
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