| Emerald Integrative Therapy Llc | |
|
136 N Main St Ste 201 Thiensville WI 53092-1606 | |
| (715) 563-4876 | |
| Not Available |
| Full Name | Emerald Integrative Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 136 N Main St Ste 201, Thiensville, Wisconsin |
| Authorized Official Name and Position | Julia Crivello (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 7155634876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Integrative Therapy Llc 12442 N Center Dr Mequon WI 53092-2601 Ph: (715) 563-4876 | Emerald Integrative Therapy Llc 136 N Main St Ste 201 Thiensville WI 53092-1606 Ph: (715) 563-4876 |
| NPI Number | 1871337212 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871337212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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