Provider Demographics
NPI:1265009500
Name:VALERIE LAABS-SIEMON LLC
Entity Type:Organization
Organization Name:VALERIE LAABS-SIEMON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAABS-SIEMON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-378-9899
Mailing Address - Street 1:1107 E LILAC LN
Mailing Address - Street 2:
Mailing Address - City:FOX POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2956
Mailing Address - Country:US
Mailing Address - Phone:414-378-9899
Mailing Address - Fax:414-963-9008
Practice Address - Street 1:1107 E LILAC LN
Practice Address - Street 2:
Practice Address - City:FOX POINT
Practice Address - State:WI
Practice Address - Zip Code:53217-2956
Practice Address - Country:US
Practice Address - Phone:414-378-9899
Practice Address - Fax:414-963-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)