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SARIS COUNSELING NPI 1659731073


NPI Information

NPI: 1659731073
Provider Name: SARIS COUNSELING

Doing Business As: EVOLVE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 52D2243854

Address:
3416 N ASSOCIATION DR
APPLETON, WI
ZIP 54914
Phone: (920) 364-9078
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SARIS COUNSELING is a professional counselor in Appleton, WI. SARIS COUNSELING NPI is 1659731073. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 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 52D2243854 - other - eating disorder treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2016 and was last updated on 2/26/2016.


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
1101YP2500XCounselorProfessional5873125WISCONSINYes

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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