Organization
YOUPHORIA3, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYDNEY M PETERSON (MANAGER)
(715) 529-0980
Entity
Organization
Contact information
Practice address
800 WISCONSIN ST BLDG D02, EAU CLAIRE, WI 54703-3588
(715) 529-0980
Mailing address
E1750 SPRUCE RD, ELEVA, WI 54738-9074
(715) 529-0980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y004573
DEPARTMENT OF FINANCIAL INSTITUTIONS
WI
Enumeration date
06/23/2025
Last updated
06/23/2025
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