| Growing Mindful Psychotherapy Creciendo Plenamente, Llc | |
|
2363 S 102nd St Ste 303 West Allis WI 53227-2143 | |
| (414) 204-5174 | |
| Not Available |
| Full Name | Growing Mindful Psychotherapy Creciendo Plenamente, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2363 S 102nd St Ste 303, West Allis, Wisconsin |
| Authorized Official Name and Position | Cesilia Gonzalez-esparza (OWNER) |
| Authorized Official Contact | 4148410641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Mindful Psychotherapy Creciendo Plenamente, Llc 2363 S 102nd St Ste 303 West Allis WI 53227-2143 Ph: () - | Growing Mindful Psychotherapy Creciendo Plenamente, Llc 2363 S 102nd St Ste 303 West Allis WI 53227-2143 Ph: (414) 204-5174 |
| NPI Number | 1720607617 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720607617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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