Organization
ACCESS MENTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR LIKHTEREV MS LPC (DIRECTOR)
(414) 276-3455
Entity
Organization
Contact information
Practice address
1442 N FARWELL AVE, #104, MILWAUKEE, WI 53202-2913
(414) 276-3455
(414) 276-3460
Mailing address
1442 N FARWELL AVE, #104, MILWAUKEE, WI 53202-2913
(414) 276-3455
(414) 276-3460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42208200
—
WI
Enumeration date
08/08/2007
Last updated
08/08/2007
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