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Life Adventure Therapies, Llc
Mental Health Counselor in Mequon, Wisconsin
NPI 1245254788

Life Adventure Therapies, Llc is a Mental Health Counselor based in West Bend, WI and is specialized in Mental Health. Life Adventure Therapies, Llc practices in Mequon, WI. The NPI Number for Life Adventure Therapies, Llc is 1245254788 and holds a License No. 761-125 (Wisconsin).

The current practice location address for Life Adventure Therapies, Llc is 11501 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-9881 and via fax at 262-365-0651.

Location: 11501 N Port Washington Rd, Mequon, WI, 53095-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245254788
Provider Name
Life Adventure Therapies, Llc
Credential
Provider Entity Type
Organization
Address
11501 N Port Washington Rd, Mequon, WI, 53095-4910
Phone Number
262-241-9881
Fax Number
262-365-0651
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11501 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3465
Phone Number
262-241-9881
Fax Number
262-365-0651
person
Provider Business Mailing Address Details
Address
11501 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3465
Phone Number
262-241-9881
Fax Number
262-365-0651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
761-125 (Wisconsin)
Definition
Definition to come...
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