Search › Wisconsin › 171M00000X
Tiala Nicely, BA
NPI 1275283194 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1440 E Wisconsin St
Portage, WI 53901 - Phone
- (608) 745-9720
- Fax
- (608) 745-9721
- Organisation at this address
- Journey Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2022-03-24
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