Metta Vista Mental Health LLC
NPI #1396553277 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1396553277
- Entity Type
- Organization
- Organization Name
- Metta Vista Mental Health LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Dec 23, 2024
Practice Location
- Address
- 10150 W NATIONAL AVE STE 204
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2145
- Phone
- (414) 617-5143
Authorized Official
- Name
- MARK THOMAS MACHAK, MS, LPC
- Title
- OWNER/LPC
- Phone
- (414) 617-5143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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