NPI 1003845181

Lake Geneva Wellness Clinic LLC

Organisation Clinical Psychologist Lake Geneva, WI

Practice location

Address: 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147-4950
Phone: (262) 248-7942
Fax: (262) 248-1202

Authorised official

Name: Erika K Fountain
Title: Owner
Phone: (262) 248-7942

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 811-057 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1003845181
Entity type: Organization
NPI issued: 1 Jul 2006
Record last updated: 12 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.