Organization · NPI-2

Amy Brehm-Unold, Lmft, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Waukesha, WI

NPI number1376181677
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1376181677
Entity type
Organization (NPI-2)
Legal business name
Amy Brehm-Unold, Lmft, LLC
Organization subpart
No
Enumeration date
Dec 17, 2019
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

2717 N Grandview Blvd Ste 204
Waukesha, WI 53188-1660

Phone 920-570-0050

Mailing address

S25w26195 Mac Arthur Rd
Waukesha, WI 53188-5503

Phone 920-570-0050

Authorized official

Amy Elizabeth Brehm-Unold
Owner
9205700050

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