| Marla Mental Health Solutions Llc | |
|
5330 W Villard Ave Milwaukee WI 53218-4345 | |
| (262) 292-4777 | |
| (262) 518-7025 |
| Full Name | Marla Mental Health Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5330 W Villard Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Stella Mildred Hahaga (OWNER) |
| Authorized Official Contact | 4147734312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marla Mental Health Solutions Llc Po Box 639 Thiensville WI 53092-0639 Ph: (414) 247-9005 | Marla Mental Health Solutions Llc 5330 W Villard Ave Milwaukee WI 53218-4345 Ph: (262) 292-4777 |
| NPI Number | 1346848397 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 8022421437 |
|---|---|
| Medicare Enrollment ID | O20210104000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346848397 | NPI | - | NPPES |
| 1255598140 | Other | WI | FAMILY MEDICINE |
| 100141629 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stella M Mahaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255598140 PECOS PAC ID: 4284912858 Enrollment ID: I20161102001020 |
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