| Home Care Therapy Llc | |
|
10025 W Greenfield Ave Ste 110 West Allis WI 53214-3956 | |
| (262) 612-3443 | |
| Not Available |
| Full Name | Home Care Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10025 W Greenfield Ave Ste 110, West Allis, Wisconsin |
| Authorized Official Name and Position | Daniesha Perry (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2626123443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Care Therapy Llc 10025 W Greenfield Ave Ste 110 West Allis WI 53214-3956 Ph: (262) 612-3443 | Home Care Therapy Llc 10025 W Greenfield Ave Ste 110 West Allis WI 53214-3956 Ph: (262) 612-3443 |
| NPI Number | 1285126243 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285126243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6798-125 (Wisconsin) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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