Search › Wisconsin › 101Y00000X
Mathew Mayes, LPC-IT, SAC-IT
NPI 1255015962 · on the registry since 2023
Practice
- Address
- 1205 S 70th St, Ste. 301
1205
West Allis, WI 53214 - Phone
- (414) 531-5207
- Organisation at this address
- Broadstep-Wisconsin, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 47
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin