Lake Geneva Wellness Clinic Llc is a Clinical - Psychology Clinic in Lake Geneva, Wisconsin. It is located at 750 Veterans Pkwy Unit 100, Lake Geneva, WI and its contact number is 262-248-7942. The authorized person for Lake Geneva Wellness Clinic Llc is Erika K Fountain
who is Owner of the clinic and his/her contact number is 262-248-7942. The primary license number for Lake Geneva Wellness Clinic Llc is 811-057 (Clinical) in Wisconsin. Lake Geneva Wellness Clinic Llc Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Lake Geneva Wellness Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Geneva Wellness Clinic Llc
Specialization:
Clinical Psychology
Clinic Address:
750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin, 53147-4950
Phone:
262-248-7942
Fax:
262-248-1202
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Erika K Fountain
Position:
Owner
Contact Number:
262-248-7942
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Geneva Wellness Clinic Llc clinic are as mentioned below.
NPI Number:
1003845181
NPI Enumeration Date:
01 Jul, 2006
NPI Last Update On:
25 Mar, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Geneva Wellness Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
811-057
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
42126800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Geneva Wellness Clinic Llc 750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin
Zip:
53147-4950
Phone Number:
262-248-7942
Fax Number:
262-248-1202
Patients can reach Lake Geneva Wellness Clinic Llc at 750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin or can call to book an appointment on 262-248-7942. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.