MARY THERESE SOSALLA LCPC NPI 1427598002

NPI Information

NPI: 1427598002
Provider Name: MARY THERESE SOSALLA, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4811 S 76TH ST # 305
GREENFIELD, WI
ZIP 53220
Phone: (414) 325-7741
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Mary Therese Sosalla, LCPC is a mental health counselor in Greenfield, WI. Mary Therese Sosalla, LCPC NPI is 1427598002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4811 S 76TH ST # 305
GREENFIELD, WI
ZIP 53220-364
Phone: (414) 325-7741

The enumeration date for this NPI number is 3/2/2017 and was last updated on 7/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	7323-125	WISCONSIN	Yes
2	101YM0800X	Counselor	Mental Health	180.011135	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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