Mesa-Horaitis, Diana Andrea

Mesa-Horaitis, Diana Andrea is an individual health care provider with primary practice located at 2906 S 20Th St , Milwaukee WI 53215-3732. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Mesa-Horaitis, Diana Andrea can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
2906 S 20Th St Milwaukee WI 53215-3732
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 415124 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 415-124 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 415124 Wisconsin

Profile Details

NPI number 1386684546
LBN Legal business name Mesa-Horaitis, Diana Andrea
Credentials MS LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386684546 NPPES
Wisconsin MEDICAID 39615400

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