Lake Geneva Wellness Clinic LLC
Lake Geneva Wellness Clinic LLC provides Clinical Psychologist services in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
750 Veterans Pkwy Unit 100Lake Geneva, WI 53147-4950
Phone: (262) 248-7942
Fax: (262) 248-1202
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 811-057 (WI) |
|---|
Record details
| NPI number | 1003845181 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erika Fountain — Owner · (262) 248-7942 |
| NPI enumerated | July 1, 2006 |
| Last updated in NPPES | September 12, 2024 |
| Certification date | September 12, 2024 |
| Mailing address | 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950 |
Other providers in Lake Geneva
-
Daniel M Christy
146 E Geneva Sq, Lake Geneva, WI 53147-9694 · (262) 249-4620