Organization
NULIFE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEE MOSTER LPC, SAC (OWNER/PSYCHOTHERAPIST)
(262) 210-4839
Entity
Organization
Contact information
Practice address
6214 WASHINGTON AVE, SUITE C-3, MOUNT PLEASANT, WI 53406-3986
(262) 456-3712
(262) 672-4147
Mailing address
6214 WASHINGTON AVE, SUITE C-3, MOUNT PLEASANT, WI 53406-3986
(262) 456-3712
(262) 672-4147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2816125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39735200
—
WI
Enumeration date
02/13/2015
Last updated
02/13/2015
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