| Metta Vista Mental Health Llc | |
|
10150 W National Ave Ste 204 West Allis WI 53227-2145 | |
| (414) 617-5143 | |
| Not Available |
| Full Name | Metta Vista Mental Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10150 W National Ave Ste 204, West Allis, Wisconsin |
| Authorized Official Name and Position | Mark Thomas Machak (OWNER/LPC) |
| Authorized Official Contact | 4146175143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metta Vista Mental Health Llc 3929 E Klieforth Ave Cudahy WI 53110-3123 Ph: (414) 617-5143 | Metta Vista Mental Health Llc 10150 W National Ave Ste 204 West Allis WI 53227-2145 Ph: (414) 617-5143 |
| NPI Number | 1396553277 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396553277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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