MEDICARE: ALYSSA GILSTER APSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	134722-121	WI

General Provider Information

NPI Number	:	1144105313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA GILSTER APSW

Provider Business Mailing Address
First Line	:	1633 W BENDER RD APT 11A
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-0001
Country	:	US
Telephone Number	:	414-840-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 N GREEN BAY AVE STE 12
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-2800
Country	:	US
Telephone Number	:	414-840-2660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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Directions to “ ALYSSA GILSTER APSW” Practice Location

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