1205001575 NPI number — FAMILY SOLUTIONS ASSOCIATES, LLP

Table of content: DR. HEATHER MICHELLE TODD PHARM. D. (NPI 1144773896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205001575 NPI number — FAMILY SOLUTIONS ASSOCIATES, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY SOLUTIONS ASSOCIATES, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205001575
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
N5589 COMMERCE RD STE 170A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ONALASKA
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54650-9274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-488-2211
Provider Business Mailing Address Fax Number:
608-488-2161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
N5589 COMMERCE RD STE 170A
Provider Second Line Business Practice Location Address:
STE 170A
Provider Business Practice Location Address City Name:
ONALASKA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54650-9274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-488-2211
Provider Business Practice Location Address Fax Number:
608-488-2161
Provider Enumeration Date:
04/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BLAKEN
Authorized Official First Name:
LISA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CERTIFIED PSYCHOTHERAPIST
Authorized Official Telephone Number:
608-488-2211

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  1343 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com