Provider Demographics
NPI:1770548695
Name:META ASSOCIATES, INC
Entity type:Organization
Organization Name:META ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAUNDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-423-6000
Mailing Address - Street 1:3930 8TH ST S
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-6511
Mailing Address - Country:US
Mailing Address - Phone:715-423-6000
Mailing Address - Fax:715-423-6013
Practice Address - Street 1:3930 8TH ST S
Practice Address - Street 2:SUITE 204
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-6511
Practice Address - Country:US
Practice Address - Phone:715-423-6000
Practice Address - Fax:715-423-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10821041C0700X
WI2128103TC0700X
WI22831041C0700X
WI20351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty