Symetria Health of Wisconsin, L.L.C.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SYMETRIA HEALTH OF WISCONSIN, L.L.C.

Practice address

6080 S 108TH St Ste B
Hales Corners, WI 53130-2557

Phone

(888) 782-6966

Fax

(630) 870-1284

NPI assigned

Mar 18, 2019

Organization subpart

Yes

Parent organization

SOFT LANDING INTERVENTIONS, L.L.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Hassan

Title

Chief Executive Officer

Phone

(888) 782-6966

Specialties & licenses 1

Addresses

Other names 1

• Symetria Recovery of Hales Corners Doing business as

Tax ID family

Symetria Health of Wisconsin LLC2 organizations share this tax ID, including this one

Part of

Soft Landing Interventions

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Symetria Health of Wisconsin, L.L.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, WI
  • NPI 1184182602
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1952860181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHUMAN BLVD",
            "address_2": "SUITE 262",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "888-782-6966",
            "fax_number": "630-870-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S 108TH ST STE B",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302557",
            "telephone_number": "888-782-6966",
            "fax_number": "630-870-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMETRIA HEALTH OF WISCONSIN, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOFT LANDING INTERVENTIONS, L.L.C.",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "888-782-6966"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symetria Recovery of Hales Corners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Sticha Neis
• Stigmacure SC
• Heidi Stuckey, LPC
• Alicia Suaverdez
• Jennifer Lauren Swatek, PTA
• Andrew Telschow, DPT
• Jacob Tenlen, DPT
• The Color of Therapy LLC
• Thomas E. Raimann DDS
• David Francis Timmer, M.S.W.

• Substance Use Disorder Rehabilitation Clinic/Center in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.