Organization
TGL WELLNESS
Active
Other names
TGL Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER LOOMIS LPC (OWNER)
(414) 218-6958
Entity
Organization
Contact information
Practice address
1750 N CALHOUN RD, BROOKFIELD, WI 53005-5037
(414) 218-6958
Mailing address
2367 N 46TH ST, MILWAUKEE, WI 53210-2917
(414) 218-6958
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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