| Awakened Mind Vitality Clinic | |
|
1052 Oak Forest Dr Suite 200 Onalaska WI 54650-3427 | |
| (608) 781-6463 | |
| (608) 781-6467 |
| Full Name | Awakened Mind Vitality Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1052 Oak Forest Dr, Onalaska, Wisconsin |
| Authorized Official Name and Position | Chris Lucey (OFFICE MANAGER) |
| Authorized Official Contact | 6087816463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakened Mind Vitality Clinic 1052 Oak Forest Dr Suite 200 Onalaska WI 54650-3427 Ph: (608) 781-6463 | Awakened Mind Vitality Clinic 1052 Oak Forest Dr Suite 200 Onalaska WI 54650-3427 Ph: (608) 781-6463 |
| NPI Number | 1487886289 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487886289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 40442020 (Wisconsin) | Primary |
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