Organization
EMBRACE LIFE TRAUMA INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NICOLE REZARCH LCSW (FOUNER CEO)
(920) 253-5523
Entity
Organization
Contact information
Practice address
105 E WISCONSIN AVE STE 204A, OCONOMOWOC, WI 53066-3058
(262) 341-9533
Mailing address
PO BOX 432, OCONOMOWOC, WI 53066-0432
(262) 341-9533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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