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Organization

LIFE POINT COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY ELLEN STEUERWALD (OFFICE MANAGER)
(920) 892-7606
Entity
Organization

Contact information

Practice address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
(920) 449-4247
Mailing address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
(920) 449-4247

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3459-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100061500
WI
Enumeration date
03/23/2009
Last updated
04/27/2023
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