Organization
ELITE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN G ANDERSON (PRACTITIONER)
(262) 955-7878
Entity
Organization
Contact information
Practice address
W156N8327 PILGRIM RD STE 101, MENOMONEE FALLS, WI 53051-3776
(262) 955-7878
Mailing address
W156N8327 PILGRIM RD STE 101, MENOMONEE FALLS, WI 53051-3776
(262) 955-7878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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