| Wild Hope Counseling & Wellness, Llc | |
|
215 N Main St Ste 204 West Bend WI 53095-3347 | |
| (262) 343-8285 | |
| Not Available |
| Full Name | Wild Hope Counseling & Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 215 N Main St Ste 204, West Bend, Wisconsin |
| Authorized Official Name and Position | Erika M. Bublitz (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2623399949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Hope Counseling & Wellness, Llc 1511 Walsh Acres Dr West Bend WI 53095-5401 Ph: () - | Wild Hope Counseling & Wellness, Llc 215 N Main St Ste 204 West Bend WI 53095-3347 Ph: (262) 343-8285 |
| NPI Number | 1023510229 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023510229 | NPI | - | NPPES |
| 1881714681 | Other | NPI | |
| 43729700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3956-125 (Wisconsin) | Primary |
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