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SARIS COUNSELING NPI 1558736884


NPI Information

NPI: 1558736884
Provider Name: SARIS COUNSELING

Other Name: EVOLVE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 52D2270536

Address:
3416 N ASSOCIATION DR
APPLETON, WI
ZIP 54914
Phone: (920) 364-9078
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SARIS COUNSELING is a mental health counselor in Appleton, WI. SARIS COUNSELING NPI is 1558736884. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Evolve.

The provider's business location address is:

3416 N ASSOCIATION DR
APPLETON, WI
ZIP 54914-479
Phone: (920) 364-9078
Fax: (920) 243-1792

The provider's authorized official is Brenda Velissaris .
The authorized official title is Clinical Director/owner and has the following contact phone number (920) 364-9078.

The CLIA number assigned to this NPI record is 52D2270536 - other - residential eating disord with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health5873125WISCONSINYes

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: 4/28/2024

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