| Organization Name: | ATELIER THERAPY STUDIO |
| NPI Number: | 1194036228 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN MARIE ROSS (THERAPIST) |
| Mailing Address: | 421 George St Suite 202 De Pere |
| State: | WI US |
| Postal Code: | 541152711 |
| Phone Number: | 9208192914 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2010 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3898-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |