| Divine Wellness & Counseling, Llc | |
|
5205 N Ironwood Rd Ste 117 Glendale WI 53217-4907 | |
| (414) 502-9355 | |
| (414) 396-4101 |
| Full Name | Divine Wellness & Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5205 N Ironwood Rd Ste 117, Glendale, Wisconsin |
| Authorized Official Name and Position | Donetta Walker (LPC/ OWNER) |
| Authorized Official Contact | 4145029355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Wellness & Counseling, Llc 5205 N Ironwood Rd Ste 117 Glendale WI 53217-4907 Ph: () - | Divine Wellness & Counseling, Llc 5205 N Ironwood Rd Ste 117 Glendale WI 53217-4907 Ph: (414) 502-9355 |
| NPI Number | 1790259703 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790259703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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