Provider Demographics
NPI:1649821638
Name:ASSESSMENT AND THERAPEUTIC SOLUTIONS, LLC
Entity type:Organization
Organization Name:ASSESSMENT AND THERAPEUTIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-800-7645
Mailing Address - Street 1:2448 S 102ND ST STE 270
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2147
Mailing Address - Country:US
Mailing Address - Phone:414-800-7645
Mailing Address - Fax:414-800-7647
Practice Address - Street 1:2448 S 102ND ST STE 270
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2147
Practice Address - Country:US
Practice Address - Phone:414-800-7645
Practice Address - Fax:414-800-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty