| Fitness N Mind, Llc | |
|
1420 Countryside Ln Brookfield WI 53045-5458 | |
| (206) 473-2228 | |
| Not Available |
| Full Name | Fitness N Mind, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1420 Countryside Ln, Brookfield, Wisconsin |
| Authorized Official Name and Position | Jennifer Lyne Swanson (OWNER) |
| Authorized Official Contact | 2064732228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitness N Mind, Llc 1420 Countryside Ln Brookfield WI 53045-5458 Ph: (206) 473-2228 | Fitness N Mind, Llc 1420 Countryside Ln Brookfield WI 53045-5458 Ph: (206) 473-2228 |
| NPI Number | 1689157612 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689157612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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