NULIFE THERAPY SERVICES, LLC (NPI# 1811388721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811388721 |
| Entity Type | Organization |
| Organization Name | NULIFE THERAPY SERVICES, LLC |
| Practice Address |
6214 Washington Ave Suite C-3 Mount Pleasant WI 53406-3986 |
| Practice Telephone | 2624563712 |
| Practice Fax Number | 2626724147 |
| Mailing Telephone | 2624563712 |
| Mailing Fax Number | 2626724147 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | MS. KIMBERLEE MOSTER (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2622104839 |
| Authorized Official Credential | LPC, SAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2816125 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39735200 | 05 |
| Street Address |
6214 WASHINGTON AVE SUITE C-3 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467588590 | Barbara B Mizer | Social Worker | 6214 Washington Ave, Suite C10, Mount Pleasant, WI 53406-3986 | 2007-02-25 |
| 1629696083 | Barbara Gail Demilio | Social Worker | 6214 Washington Ave, Mount Pleasant, WI 53406-3986 | 2020-07-10 |
| 1992195192 | Russ Kinkade, Psy.d., S.c. | Clinic/Center | 6214 Washington Ave, C-10, Mount Pleasant, WI 53406-3986 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033346887 | Monarch | Community/Behavioral Health | 900 Circle Dr, Mount Pleasant, NC 28124-8555 | 2009-06-19 |
| 1538522966 | Ag Counseling Services, Plc | Community/Behavioral Health | 1205 S Mission St, Suite 27, Mount Pleasant, MI 48858-3939 | 2016-04-02 |
| 1780055194 | Heartbound Counseling, Pllc | Community/Behavioral Health | 201 S University Ave, Mount Pleasant, MI 48858-2527 | 2015-10-12 |
| 1295140424 | Earth Please Foundation | Community/Behavioral Health | 104 E Clay St, Mount Pleasant, IA 52641-2318 | 2014-06-26 |
| 1912311572 | Tracey Galgoci Counseling, Pllc | Community/Behavioral Health | 600 E Broadway St, Mount Pleasant, MI 48858-2701 | 2014-06-11 |
| 1245514520 | Family Impact, Inc | Community/Behavioral Health | 829 S Green Bay Rd, Ste 109, Mount Pleasant, WI 53406-4058 | 2011-10-04 |
| 1700028503 | Wellspring Counseling Center, Inc. | Community/Behavioral Health | 4305 S Green Bay Rd, Mount Pleasant, WI 53403-9425 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.