| Porchlight Mental Wellness | |
|
3927 E Obrien Rd Oak Creek WI 53154-6021 | |
| (414) 797-3260 | |
| Not Available |
| Full Name | Porchlight Mental Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3927 E Obrien Rd, Oak Creek, Wisconsin |
| Authorized Official Name and Position | Christina R Popp (OWNER) |
| Authorized Official Contact | 4145149818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porchlight Mental Wellness 3927 E Obrien Rd Oak Creek WI 53154-6021 Ph: (414) 797-3260 | Porchlight Mental Wellness 3927 E Obrien Rd Oak Creek WI 53154-6021 Ph: (414) 797-3260 |
| NPI Number | 1164274189 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164274189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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