Organization
A MOMENT OF RETREAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LEE SCHMIDT (MEMBER)
(414) 491-0516
Entity
Organization
Contact information
Practice address
950 W RIVERVIEW DR, GLENDALE, WI 53209-4534
(414) 617-3704
Mailing address
950 W RIVERVIEW DR, GLENDALE, WI 53209-4534
(414) 617-3704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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