| Living Well Christian Family Clinic, Llc | |
|
575 Lester Ave Ste 100 Onalaska WI 54650-8695 | |
| (608) 783-1452 | |
| Not Available |
| Full Name | Living Well Christian Family Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 575 Lester Ave Ste 100, Onalaska, Wisconsin |
| Authorized Official Name and Position | Kami Jo Lipps (OWNER) |
| Authorized Official Contact | 6087831452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Christian Family Clinic, Llc 575 Lester Ave Ste 100 Onalaska WI 54650-8695 Ph: (608) 783-1452 | Living Well Christian Family Clinic, Llc 575 Lester Ave Ste 100 Onalaska WI 54650-8695 Ph: (608) 783-1452 |
| NPI Number | 1447428719 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447428719 | NPI | - | NPPES |
| 42253100 | Medicaid | WI |
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