| Maple Tree Wellness, Llc | |
|
205 5th Ave S Ste 306 La Crosse WI 54601-4059 | |
| (608) 466-6411 | |
| (608) 572-7737 |
| Full Name | Maple Tree Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 205 5th Ave S Ste 306, La Crosse, Wisconsin |
| Authorized Official Name and Position | Lauren Gourley (THERAPIST) |
| Authorized Official Contact | 6084666411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Tree Wellness, Llc 2920 East Ave S Ste 101 La Crosse WI 54601-8282 Ph: (608) 466-6411 | Maple Tree Wellness, Llc 205 5th Ave S Ste 306 La Crosse WI 54601-4059 Ph: (608) 466-6411 |
| NPI Number | 1962950865 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962950865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8384-123 (Wisconsin) | Primary |
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