| A Beautiful Journey, Llc | |
|
W6188 Everglade Rd Greenville WI 54942-8590 | |
| (920) 268-3242 | |
| Not Available |
| Full Name | A Beautiful Journey, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | W6188 Everglade Rd, Greenville, Wisconsin |
| Authorized Official Name and Position | Jacqueline Anderson (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9202683242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Journey, Llc W6188 Everglade Rd Greenville WI 54942-8590 Ph: (920) 268-3242 | A Beautiful Journey, Llc W6188 Everglade Rd Greenville WI 54942-8590 Ph: (920) 268-3242 |
| NPI Number | 1003221789 |
|---|---|
| Provider Enumeration Date | 06/21/2014 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003221789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4691125 (Wisconsin) | Primary |