Organization
LIFE ADVENTURE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA J SUMMERFIELD MS (CO-OWNER-PSYCHOTHERAPIST)
(262) 241-9881
Entity
Organization
Contact information
Practice address
11501 N PORT WASHINGTON RD, SUITE G-30, MEQUON, WI 53092-3465
(262) 241-9881
(262) 365-0651
Mailing address
224 BUTTERNUT ST, WEST BEND, WI 53095-4910
(262) 241-9881
(262) 365-0651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
761-125
WI
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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