Life Adventure Therapies, Llc

NPI 1245254788 - Counselor - 101YM0800X

NPI Details
NPI 1245254788
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MELISSA J MELISSA
Position CO-OWNER-PSYCHOTHERAPIST
Phone (262) 241-9881
Fax (262) 365-0651
Practice Location
11501 N PORT WASHINGTON RD
SUITE G-30
MEQUON WI, 53092-3465, US
Phone (262) 241-9881
Fax (262) 365-0651
Business Location
224 BUTTERNUT ST
WEST BEND WI, 53095-4910, US
Phone (262) 241-9881
Fax (262) 365-0651
Toxanomy
Taxonomy Code 101YM0800X
License State Wisconsin
License Number 761-125
Remove 1245254788 NPI Number
 

According to our database, Life Adventure Therapies, Llc NPI is 1245254788, taxonomy code is 101YM0800X and license number is 761-125, license state is located at Wisconsin. Life Adventure Therapies, Llc physically located at 11501 N Port Washington Rd, Mequon WI, 53092-3465. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1245254788 NPI number is provided on an as is basis without warranty of any kind. 1245254788 is maintained by the National Plan & Provider Enumeration System. The contents of Life Adventure Therapies, Llc are for informational purposes only.