Provider Demographics
NPI:1033258116
Name:WISCONSIN STRESS CONTROL CENTER, LTD
Entity Type:Organization
Organization Name:WISCONSIN STRESS CONTROL CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NIEMIEC
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-327-6565
Mailing Address - Street 1:9401 W BELOIT RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227
Mailing Address - Country:US
Mailing Address - Phone:414-327-6565
Mailing Address - Fax:414-327-6845
Practice Address - Street 1:9401 W BELOIT RD
Practice Address - Street 2:SUITE 314
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227
Practice Address - Country:US
Practice Address - Phone:414-327-6565
Practice Address - Fax:414-327-6845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)