Organization
THE GRATEFUL THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER M VAN ZEELAND LMFT (OWNER)
(920) 850-5746
Entity
Organization
Contact information
Practice address
1476 KENWOOD DR STE 102, MENASHA, WI 54952-1134
(920) 850-5746
Mailing address
3331 N CASALOMA DR UNIT 19, APPLETON, WI 54913-6500
(920) 850-5746
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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