| Journey To Wholeness, Llc | |
|
N5405 County Road A Prentice WI 54556-9432 | |
| (715) 428-2082 | |
| (715) 428-2092 |
| Full Name | Journey To Wholeness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | N5405 County Road A, Prentice, Wisconsin |
| Authorized Official Name and Position | Dawn Lee Schroeder (OWNER) |
| Authorized Official Contact | 7154282082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Wholeness, Llc N5405 County Road A Prentice WI 54556-9432 Ph: (715) 428-2082 | Journey To Wholeness, Llc N5405 County Road A Prentice WI 54556-9432 Ph: (715) 428-2082 |
| NPI Number | 1922687540 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/02/2021 |
| Certification Date | 04/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922687540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Stable Reins, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N5405 County Road A, Prentice, WI 54556 Phone: 715-428-2082 Fax: 715-428-2092 |