Healthcare Provider Details

I. General information

NPI: 1770548695
Provider Name (Legal Business Name): META ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 8TH ST S SUITE 204
WISCONSIN RAPIDS WI
54494-6511
US

IV. Provider business mailing address

3930 8TH ST S SUITE 204
WISCONSIN RAPIDS WI
54494-6511
US

V. Phone/Fax

Practice location:
  • Phone: 715-423-6000
  • Fax: 715-423-6013
Mailing address:
  • Phone: 715-423-6000
  • Fax: 715-423-6013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2128
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1082
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2283
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2035
License Number StateWI

VIII. Authorized Official

Name: MS. CRYSTAL FRAUNDORF
Title or Position: OFFICE MANAGER
Credential:
Phone: 715-423-6000