| Via Therapy Llc | |
|
N113w13341 Crestview Dr Germantown WI 53022-3610 | |
| (262) 686-4478 | |
| (262) 208-1483 |
| Full Name | Via Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | N113w13341 Crestview Dr, Germantown, Wisconsin |
| Authorized Official Name and Position | Michael James Weidman (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2626864478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Therapy Llc 2800 E Enterprise Ave Ste 333 Appleton WI 54913-7889 Ph: () - | Via Therapy Llc N113w13341 Crestview Dr Germantown WI 53022-3610 Ph: (262) 686-4478 |
| NPI Number | 1114886934 |
|---|---|
| Provider Enumeration Date | 01/17/2026 |
| Last Update Date | 01/17/2026 |
| Certification Date | 01/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114886934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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