MEDICARE: PJS LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1871312884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PJS LLC

Provider Business Mailing Address
First Line	:	787 LOIS DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1177
Country	:	US
Telephone Number	:	608-299-9697
Fax Number	:	608-478-5646

Provider Business Practice Location Address
First Line	:	787 LOIS DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1177
Country	:	US
Telephone Number	:	608-444-0585
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICIA JOAN SZAMBELAN
Credential	:	MS, LPC, CSAC
Telephone Number	:	608-299-9697

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	08/12/2025

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Directions to “PJS LLC ” Practice Location

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