| Life-span Family Services | |
|
13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001 | |
| (262) 784-1121 | |
| (262) 784-9777 |
| Full Name | Life-span Family Services |
|---|---|
| Speciality | Counselor |
| Location | 13035 W Bluemound Rd Ste 100, Brookfield, Wisconsin |
| Authorized Official Name and Position | Thomas Scot Lehmann (OWNER) |
| Authorized Official Contact | 2627841121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life-span Family Services 13035 W Bluemound Rd Suite #100 Brookfield WI 53005-8001 Ph: (262) 784-1121 | Life-span Family Services 13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001 Ph: (262) 784-1121 |
| NPI Number | 1366615205 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 07/09/2009 |
| Medicare PECOS PAC ID | 5991859258 |
|---|---|
| Medicare Enrollment ID | O20090820000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366615205 | NPI | - | NPPES |
| 43571100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3073-125 (Wisconsin) | Primary |
| Provider Name | Thomas S Lehmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558426999 PECOS PAC ID: 4688664048 Enrollment ID: I20040517000881 |
| Provider Name | Sarah Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699254037 PECOS PAC ID: 1153773379 Enrollment ID: I20240123003195 |
| Provider Name | Amy Beth Seegert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114418357 PECOS PAC ID: 5193161859 Enrollment ID: I20240315003178 |
| Provider Name | Carmen Regina Klenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609367853 PECOS PAC ID: 8325489446 Enrollment ID: I20240507003009 |
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