Provider Demographics
NPI:1821731225
Name:MULTICULTURAL HEALTH AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:MULTICULTURAL HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-JOHNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-729-2910
Mailing Address - Street 1:N2251 WILDERLAND DR
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-4464
Mailing Address - Country:US
Mailing Address - Phone:773-266-0012
Mailing Address - Fax:
Practice Address - Street 1:N2251 WILDERLAND DR
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4464
Practice Address - Country:US
Practice Address - Phone:262-729-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health