| Nulife Therapy Services, Llc | |
|
6214 Washington Ave Suite C-3 Mount Pleasant WI 53406-3986 | |
| (262) 456-3712 | |
| (262) 672-4147 |
| Full Name | Nulife Therapy Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6214 Washington Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Kimberlee Moster (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2622104839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulife Therapy Services, Llc 6214 Washington Ave Suite C-3 Mount Pleasant WI 53406-3986 Ph: (262) 456-3712 | Nulife Therapy Services, Llc 6214 Washington Ave Suite C-3 Mount Pleasant WI 53406-3986 Ph: (262) 456-3712 |
| NPI Number | 1811388721 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811388721 | NPI | - | NPPES |
| 39735200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2816125 (Wisconsin) | Primary |
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