| Wildstone Wellness, Llc | |
|
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
| (262) 424-6624 | |
| Not Available |
| Full Name | Wildstone Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Melissa G Hale (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 2624246624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildstone Wellness, Llc 189 Green Bay Rd Cedarburg WI 53012-2901 Ph: (262) 424-6624 | Wildstone Wellness, Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (262) 424-6624 |
| NPI Number | 1225541170 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225541170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7870-123 (Wisconsin) | Primary |
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