| Healing Path Psychotherapy, Llc | |
|
10144 N Port Washington Rd Ste Ll-c Mequon WI 53092-5796 | |
| (262) 292-1277 | |
| (262) 292-4077 |
| Full Name | Healing Path Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10144 N Port Washington Rd Ste Ll-c, Mequon, Wisconsin |
| Authorized Official Name and Position | Tricia Damm (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2622921277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path Psychotherapy, Llc 11035 N Hedgewood Ln Mequon WI 53092-4909 Ph: (262) 292-1277 | Healing Path Psychotherapy, Llc 10144 N Port Washington Rd Ste Ll-c Mequon WI 53092-5796 Ph: (262) 292-1277 |
| NPI Number | 1124532783 |
|---|---|
| Provider Enumeration Date | 11/18/2017 |
| Last Update Date | 11/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124532783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4182-125 (Wisconsin) | Primary |
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