Healing Path Psychotherapy, Llc | |
10144 N Port Washington Rd Ste Ll-c Mequon WI 53092-5796 | |
(262) 292-1277 | |
(262) 292-4077 |
Full Name | Healing Path Psychotherapy, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 10144 N Port Washington Rd Ste Ll-c, Mequon, Wisconsin |
Authorized Official Name and Position | Tricia Damm (PSYCHOTHERAPIST) |
Authorized Official Contact | 2622921277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healing Path Psychotherapy, Llc 11035 N Hedgewood Ln Mequon WI 53092-4909 Ph: (262) 292-1277 | Healing Path Psychotherapy, Llc 10144 N Port Washington Rd Ste Ll-c Mequon WI 53092-5796 Ph: (262) 292-1277 |
NPI Number | 1124532783 |
---|---|
Provider Enumeration Date | 11/18/2017 |
Last Update Date | 11/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124532783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4182-125 (Wisconsin) | Primary |
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› Verified 6 days ago
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