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Lifespan Psychotherapy
Mental Health Clinic/Center (Including Community Mental Health Center) in Hartland, Wisconsin
NPI 1841809878

Lifespan Psychotherapy is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Hartland, WI and is specialized in Mental Health (Including Community Mental Health Center). Lifespan Psychotherapy practices in Hartland, WI. The NPI Number for Lifespan Psychotherapy is 1841809878 and holds a License No. (Wisconsin).

The current practice location address for Lifespan Psychotherapy is 510 Hartbrook Dr Ste 204B, Hartland, WI and can be reached out via phone at 126-236-1427 and via fax at 262-313-0038.

Location: 510 Hartbrook Dr Ste 204B, Hartland, WI, 53029-1440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841809878
Provider Name
Lifespan Psychotherapy
Credential
Provider Entity Type
Organization
Address
510 Hartbrook Dr Ste 204B, Hartland, WI, 53029-1440
Phone Number
126-236-1427
Fax Number
262-313-0038
Provider Enumeration Date
07/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528364825 05 WI
institution
Provider Business Practice Location Address Details
Address
510 Hartbrook Dr Ste 204B
City
Hartland
State
Wisconsin
Zip
53029-1440
Phone Number
126-236-1427
Fax Number
262-313-0038
person
Provider Business Mailing Address Details
Address
510 Hartbrook Dr Ste 204B
City
Hartland
State
Wisconsin
Zip
53029-1440
Phone Number
126-236-1427
Fax Number
262-313-0038
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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