Alchemy Practice | |
6627 Wolf Hollow Rd Windsor WI 53598-9813 | |
(913) 293-9775 | |
Not Available |
Full Name | Alchemy Practice |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6627 Wolf Hollow Rd, Windsor, Wisconsin |
Authorized Official Name and Position | Dia Majett Matthews (OWNER) |
Authorized Official Contact | 9132939775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alchemy Practice 6627 Wolf Hollow Rd Windsor WI 53598-9813 Ph: (913) 293-9775 | Alchemy Practice 6627 Wolf Hollow Rd Windsor WI 53598-9813 Ph: (913) 293-9775 |
NPI Number | 1023761285 |
---|---|
Provider Enumeration Date | 01/28/2022 |
Last Update Date | 01/28/2022 |
Certification Date | 01/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023761285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |