Provider Demographics
NPI:1205001575
Name:FAMILY SOLUTIONS ASSOCIATES, LLP
Entity type:Organization
Organization Name:FAMILY SOLUTIONS ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BLAKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:608-488-2211
Mailing Address - Street 1:N5589 COMMERCE RD STE 170A
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-9274
Mailing Address - Country:US
Mailing Address - Phone:608-488-2211
Mailing Address - Fax:608-488-2161
Practice Address - Street 1:N5589 COMMERCE RD STE 170A
Practice Address - Street 2:STE 170A
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-9274
Practice Address - Country:US
Practice Address - Phone:608-488-2211
Practice Address - Fax:608-488-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1343251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health