| Stephanie Mazzanti | |
|
3131 Taylor Ave Elmwood Park WI 53405-4524 | |
| (312) 608-0097 | |
| Not Available |
| Full Name | Stephanie Mazzanti |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3131 Taylor Ave, Elmwood Park, Wisconsin |
| Authorized Official Name and Position | Stephanie Mazzanti (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 3126080097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Mazzanti 4123 Meachem Rd Mount Pleasant WI 53403-3912 Ph: (312) 608-0097 | Stephanie Mazzanti 3131 Taylor Ave Elmwood Park WI 53405-4524 Ph: (312) 608-0097 |
| NPI Number | 1780185280 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780185280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 180009102 (Illinois) | Primary |
Restore Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3131 Taylor Ave, Elmwood Park, WI 53405 Phone: 773-910-6003 |