SYMETRIA HEALTH OF WISCONSIN, L.L.C. (NPI# 1952860181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952860181 |
Entity Type | Organization |
Organization Name | SYMETRIA HEALTH OF WISCONSIN, L.L.C. |
Practice Address |
6080 S 108th St Ste B Hales Corners WI 53130-2557 |
Mailing Address |
40 Shuman Blvd Suite 262 Naperville IL 60563 |
Practice Telephone | 8887826966 |
Practice Fax Number | 6308701284 |
Mailing Telephone | 8887826966 |
Mailing Fax Number | 6308701284 |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |
Authorized Official Name | CHRIS HASSAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8887826966 |
Is Organization Subpart | Y |
Parent Organization Name | SOFT LANDING INTERVENTIONS, L.L.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Symetria Recovery of Hales Corners | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
Street Address |
6080 S 108TH ST STE B |
City | HALES CORNERS |
State | WI |
Zip Code | 53130-2557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962995563 | Leo A Levesque IIi | Chiropractor | Chiro One Wellness Center of Hales Corners LLC, 5305 S 108th St, Hales Corners, WI 53130 | 2018-06-08 |
1730512286 | Rebecca Lynn Gnas | Chiropractor | 10731 W. Forest Home Avenue, Hales Corners, WI 53130 | 2013-08-19 |
1316097843 | Michael S. Kotkin | Psychologist | 9415 W. Forest Home Ave. Suite 104, Hales Corners, WI 53130 | 2007-01-10 |
1588713705 | Dennis Keith Wolf | Social Worker | 12065 W Janesville Road, Hales Corners, WI 53130 | 2007-01-09 |
1124186978 | Briar House Facility Lpc Briar I | Assisted Living Facility | 10133 W Brookside Dr, Hales Corner, WI 53130 | 2006-12-05 |
1598837171 | Gilbert Jerome Brickler | Dentist | 6080 South 108th St, Suite 111 Gilbert J Brickler Dds, Hales Corners, WI 53130 | 2006-11-15 |
1306957840 | Donald Allen Whitlock | Dentist | 11035 W. Forest Home Ave, #116, Hales Corners, WI 53130 | 2006-08-31 |
1528074309 | James C. Boudreau, Dpm, Sc | Podiatrist | 6191 S. 108th St., Hales Corners, WI 53130 | 2006-07-31 |
1912441437 | Katheryn Elizabeth Hurst | Physical Therapist | 5764 S 108th St, Hales Corners, WI 53130 | 2016-12-19 |
1417115700 | Richard Anthony Mueller | Dentist | 11801 W Janesville Rd, Hales Corners, WI 53130 | 2008-05-23 |
Find all providers in zip 53130 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598136442 | Rosecrance Inc | Clinic/Center | 10950 W Forest Home Ave, Hales Corners, WI 53130-2556 | 2015-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709159 | Thrive Consulting and Wellness, LLC | Clinic/Center | 715 Hill St Ste 250a, Madison, WI 53705-3572 | 2020-01-11 |
1699314864 | Joyce's House of Milwaukee | Clinic/Center | 2811 W North Ave, Milwaukee, WI 53208-1551 | 2020-01-05 |
1073151874 | Mahala's Hope, Inc. | Clinic/Center | N4590 Us Highway 45, Eden, WI 53019-1212 | 2019-12-12 |
1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
1669889283 | Roots Counseling Services, LLC | Clinic/Center | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2014-07-15 |
Find all providers with the same taxonomy |
City | HALES CORNERS |
Zip Code | 53130 |
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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.