Organization
ENLIGHTENED WAYS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERLY MIXON (OWNER)
(608) 346-8843
Entity
Organization
Contact information
Practice address
2319 BOULDER LN, BELOIT, WI 53511-6709
(608) 346-8843
Mailing address
2319 BOULDER LN, BELOIT, WI 53511-6709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/17/2022
Last updated
04/13/2023
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