TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC


Address: N55w37178 Roland St, Oconomowoc, WI 53066-5321
Phone: 2627192975

TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC (NPI# 1477151439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477151439
Entity Type Organization
Organization Name TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC
Practice Address N55w37178 Roland St
Oconomowoc
WI 53066-5321
Practice Telephone 2627192975
Mailing Telephone 2627192975
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Authorized Official Name BRANDIE L TETZLAFF (PSYCHOTHERAPIST/OWNER)
Authorized Official Telephone 2627192975
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 43743800 05

Office Location

Street Address N55W37178 ROLAND ST
City OCONOMOWOC
State WI
Zip Code 53066-5321

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1477199602 Aimee Metzger Psychotherapy LLC Clinic/Center 405 E Forest St Ste 106, Oconomowoc, WI 53066-3707 2019-11-22

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1629687108 Premier Medical & Couple Therapy Clinic/Center 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 2020-07-30
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Competitor

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City OCONOMOWOC
Zip Code 53066

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Dataset Information

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.

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