| Full Life Counseling Center | |
|
9764 N Arrowwood Rd Mequon WI 53092-4703 | |
| (407) 529-7662 | |
| Not Available |
| Full Name | Full Life Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9764 N Arrowwood Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Bruna Medeiros Lupo (OWNER AND CLINICIAN) |
| Authorized Official Contact | 4075297662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Life Counseling Center 1347 Simmons Rd Kissimmee FL 34744-5629 Ph: (407) 529-7662 | Full Life Counseling Center 9764 N Arrowwood Rd Mequon WI 53092-4703 Ph: (407) 529-7662 |
| NPI Number | 1841012846 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841012846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Newport Professionals Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, G30, Mequon, WI 53092 Phone: 262-241-8100 Fax: 262-241-8200 | |
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