Professional Services Group, Inc. in West Allis - Mental Health

Professional Services Group, Inc. - NPI 1396821005

Professional Services Group, Inc. is a Mental Health in West Allis, Wisconsin. Professional Services Group, Inc. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Professional Services Group, Inc. is 1396821005. The last update date is 2008-06-30.

Professional Services Group, Inc.'s current location address is 1126 S 70th St, West Allis, Wisconsin. You can contact this provider via phone number 4147272789 and fax number 4144768695. The mailing address for Professional Services Group, Inc. is 1126 S 70th St, West Allis, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Professional Services Group, Inc.
Address 1126 S 70th St, West Allis, Wisconsin
Phone Number 4147272789
Fax Number 4144768695
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Wolf A. Brian
Credentials PHD.
Telephone Number 2626522406

NPI Number Detail

NPI Number 1396821005
Provider Enumeration Date 2006-10-27
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 1126 S 70th St
City West Allis
State Wisconsin (WI)
Post Code 532143151
Phone Number 4147272789
Fax Number 4144768695

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 2365
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42235000 WI --

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FAQs about Professional Services Group, Inc.

What is the unique identifier code issued to Professional Services Group, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Professional Services Group, Inc. has been assigned the NPI (National Provider Identifier) 1396821005. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Professional Services Group, Inc. is physically located?

The Professional Services Group, Inc. is physically situated at the following address: 1126 S 70Th St, West Allis, WI, 532143151.

What is Professional Services Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Professional Services Group, Inc. is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396821005 to Professional Services Group, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1396821005 to Professional Services Group, Inc. on 2006-10-27.

As of what date was the information pertaining to Professional Services Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Professional Services Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-30.

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