Freedom Therapy Llc | |
1240 W Ranchito Ln Mequon WI 53092-6089 | |
(414) 429-5792 | |
Not Available |
Full Name | Freedom Therapy Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1240 W Ranchito Ln, Mequon, Wisconsin |
Authorized Official Name and Position | Joel Scott Winston (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 4144295792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freedom Therapy Llc 1240 W Ranchito Ln Mequon WI 53092-6089 Ph: () - | Freedom Therapy Llc 1240 W Ranchito Ln Mequon WI 53092-6089 Ph: (414) 429-5792 |
NPI Number | 1174993034 |
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Provider Enumeration Date | 10/04/2015 |
Last Update Date | 10/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174993034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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