Healthcare Provider Details

I. General information

NPI: 1992614564
Provider Name (Legal Business Name): PLANTMENTAL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 MILO ST
FORT ATKINSON WI
53538-2163
US

IV. Provider business mailing address

2100 N MAYFAIR RD UNIT 313
WAUWATOSA WI
53226-2230
US

V. Phone/Fax

Practice location:
  • Phone: 414-436-6428
  • Fax:
Mailing address:
  • Phone: 608-438-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ARIANNA MANSAVAGE
Title or Position: OWNER
Credential: LPC
Phone: 608-438-8524