| Tgl Wellness | |
|
1750 N Calhoun Rd Brookfield WI 53005-5037 | |
| (414) 218-6958 | |
| Not Available |
| Full Name | Tgl Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1750 N Calhoun Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Tyler Loomis (OWNER) |
| Authorized Official Contact | 4142186958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgl Wellness 2367 N 46th St Milwaukee WI 53210-2917 Ph: (414) 218-6958 | Tgl Wellness 1750 N Calhoun Rd Brookfield WI 53005-5037 Ph: (414) 218-6958 |
| NPI Number | 1083252860 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083252860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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