NPI 1356569115 · live from the CMS NPI Registry
Applied Therapies & Wellness Center, S.C.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brookfield, WI. National Provider Identifier 1356569115, active.
NPI record
| NPI | 1356569115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 150 N. Sunnyslope Rd. Ste 372, Brookfield, WI 53005 |
| Practice phone | 414-302-1233 |
| Enumerated | April 24, 2007 |
| Last updated | March 20, 2024 |
| Authorized official | Trisha Wollin, Owner/Registered Agent |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 6747-123 |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.