AASIYAH CLARK


Address: 2222 N Mayfair Rd, Wauwatosa, WI 53226-2262
Phone: 4149399390

AASIYAH CLARK (NPI# 1235578709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235578709
Entity Type Individual
Full Name AASIYAH CLARK
Credential LPC
Practice Address 2222 N Mayfair Rd
Wauwatosa
WI 53226-2262
Mailing Address 2222 N Mayfair Rd Ste 120
Wauwatosa
WI 53226-2262
Practice Telephone 4149399390
Mailing Telephone 4149399390
Enumeration Date 2013-06-18
Last Update Date 2019-12-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
7572-125 WI Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
3700-226 WI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2626 Charles Dr, Chalmette, LA 700433779 5042784006
5235 N Ironwood Rd, Glendale, WI 532174906 4149021500
3505 N 124th St, Brookfield, WI 53005 4144314444

Office Location

Street Address 2222 N MAYFAIR RD
City WAUWATOSA
State WI
Zip Code 53226-2262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417322868 Prevail Psychiatry LLC Psychiatry & Neurology 2222 N Mayfair Rd, Wauwatosa, WI 53226-2208 2015-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
Find all providers in zip 53226

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265066260 Lisa Marie Zwagerman Counselor 1434 N 122nd St, Wauwatosa, WI 53226-3122 2020-02-27
1013461573 Michael Richard Kiel Counselor 3636 N 124th St Ste 300, Wauwatosa, WI 53222-2125 2016-08-12
1346652153 Kristin Michelle Walker Counselor 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 2014-05-28
1619301355 Matthew T Vahl Counselor 1033 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-3442 2013-08-29
1710221726 Judy Stevens Counselor 1011 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3431 2012-11-15
1902119753 Totty & Associates Counselor 7251 W. North Avenue, Suite 1, Wauwatosa, WI 53213 2010-07-22
1992941942 Sarah R Wolf Counselor 1233 N Mayfair Rd Ste 206, Wauwatosa, WI 53226-3255 2008-12-22
1073614483 Christine Anne Brudnicki Counselor 3800 N Mayfair Road, Wauwatosa, WI 53222-2213 2006-09-26
1871602870 Janice Elaine Lieber Counselor 1220 Dewey Avenue, Wauwatosa, WI 53213-2504 2006-08-30
1154356095 Tamara Marie Makhlouf Counselor 3015 N 114th St, Wauwatosa, WI 53222-4208 2006-07-11
Find all providers in WAUWATOSA

Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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