| Embrace Life Trauma Institute | |
|
105 E Wisconsin Ave Ste 204a Oconomowoc WI 53066-3058 | |
| (262) 341-9533 | |
| Not Available |
| Full Name | Embrace Life Trauma Institute |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 E Wisconsin Ave Ste 204a, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Kimberly Nicole Rezarch (FOUNER CEO) |
| Authorized Official Contact | 9202535523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Life Trauma Institute Po Box 432 Oconomowoc WI 53066-0432 Ph: (262) 341-9533 | Embrace Life Trauma Institute 105 E Wisconsin Ave Ste 204a Oconomowoc WI 53066-3058 Ph: (262) 341-9533 |
| NPI Number | 1609709435 |
|---|---|
| Provider Enumeration Date | 06/03/2026 |
| Last Update Date | 06/03/2026 |
| Certification Date | 06/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609709435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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