Provider Demographics
NPI:1144105313
Name:GILSTER, ALYSSA (APSW)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:GILSTER
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 W BENDER RD APT 11A
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-0001
Mailing Address - Country:US
Mailing Address - Phone:414-840-2660
Mailing Address - Fax:
Practice Address - Street 1:7101 N GREEN BAY AVE STE 12
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-2800
Practice Address - Country:US
Practice Address - Phone:414-840-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI134722-121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health