Life Adventure Therapies, LLC

NPI #1245254788 in Mequon, Wisconsin

Provider Information

NPI Number
1245254788
Entity Type
Organization
Organization Name
Life Adventure Therapies, LLC
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
11501 N PORT WASHINGTON RD
Address 2
SUITE G-30
City
Mequon
ZIP Code
53092-3465
Phone
(262) 241-9881

Authorized Official

Name
MELISSA J SUMMERFIELD, MS
Title
CO-OWNER-PSYCHOTHERAPIST
Phone
(262) 241-9881

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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