Healthcare Provider Details

I. General information

NPI: 1184586000
Provider Name (Legal Business Name): CAUSA PRAESENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 N PORT WASHINGTON RD
GLENDALE WI
53217-4308
US

IV. Provider business mailing address

7530 N PORT WASHINGTON RD
FOX POINT WI
53217-3421
US

V. Phone/Fax

Practice location:
  • Phone: 414-213-4369
  • Fax:
Mailing address:
  • Phone: 414-213-4369
  • 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: VLADISLAV SOLC
Title or Position: OWNER
Credential:
Phone: 414-213-4369