| In The Moment Child And Family Therapy, Llc | |
|
6705 Wesner Rd Verona WI 53593-9178 | |
| (608) 620-3486 | |
| Not Available |
| Full Name | In The Moment Child And Family Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6705 Wesner Rd, Verona, Wisconsin |
| Authorized Official Name and Position | Kathleen Moffett Harwood (SOLE PROPRIATOR) |
| Authorized Official Contact | 6084360506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In The Moment Child And Family Therapy, Llc 653 Garfield Ave Evansville WI 53536-1067 Ph: (608) 436-0506 | In The Moment Child And Family Therapy, Llc 6705 Wesner Rd Verona WI 53593-9178 Ph: (608) 620-3486 |
| NPI Number | 1376913129 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376913129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 478-228 (Wisconsin) | Primary |
| 251S00000X | Community/behavioral Health | 2694-226 (Wisconsin) | Secondary |
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