Healthcare Provider Details

I. General information

NPI: 1285227868
Provider Name (Legal Business Name): EASE-OF-MIND MENTAL HEALTH SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 RIMROCK RD APT 102
FITCHBURG WI
53713-2709
US

IV. Provider business mailing address

2500 RIMROCK RD APT 102
FITCHBURG WI
53713-2709
US

V. Phone/Fax

Practice location:
  • Phone: 608-467-2331
  • Fax: 608-284-7947
Mailing address:
  • Phone: 608-467-2331
  • Fax: 608-284-7947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. SADAT ABIRI
Title or Position: OWNER
Credential: APNP
Phone: 608-467-2331