Provider Demographics
NPI:1053624338
Name:ARVOY, ANN MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:ARVOY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11431 N PORT WASHINGTON RD STE 260
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3462
Mailing Address - Country:US
Mailing Address - Phone:262-229-5573
Mailing Address - Fax:262-292-5563
Practice Address - Street 1:11431 N PORT WASHINGTON RD STE 260
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3462
Practice Address - Country:US
Practice Address - Phone:262-229-5573
Practice Address - Fax:262-292-5563
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4596-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional