| Living Your Design, Llc | |
|
740 Pilgrim Pkwy Suite 206 Elm Grove WI 53122-2066 | |
| (414) 430-3122 | |
| Not Available |
| Full Name | Living Your Design, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 740 Pilgrim Pkwy, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Pamela Jeanne Merten (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4144303122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Your Design, Llc 207 N 116th St Wauwatosa WI 53226-4017 Ph: (414) 430-3122 | Living Your Design, Llc 740 Pilgrim Pkwy Suite 206 Elm Grove WI 53122-2066 Ph: (414) 430-3122 |
| NPI Number | 1811132624 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811132624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3499-125 (Wisconsin) | Primary |
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