Organization
A-VIAN PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA VIAN (OWNER)
(414) 213-9533
Entity
Organization
Contact information
Practice address
1840 N FARWELL AVE, MILWAUKEE, WI 53202-1792
(414) 231-9533
Mailing address
1840 N FARWELL AVE, MILWAUKEE, WI 53202-1792
(414) 231-9533
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4953-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027177
—
WI
Enumeration date
07/23/2014
Last updated
07/23/2014
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