MEDICARE: DELLE RADICE HEALING AND RESOURCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1225994783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELLE RADICE HEALING AND RESOURCE CENTER

Provider Business Mailing Address
First Line	:	S63W27465 RIVER RD
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53189-9792
Country	:	US
Telephone Number	:	262-893-0381
Fax Number	:

Provider Business Practice Location Address
First Line	:	S63W27465 RIVER RD
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53189-9792
Country	:	US
Telephone Number	:	262-893-0381
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GINNY SCHMITT
Credential	:	SPIRITUAL HEALER
Telephone Number	:	262-893-0381

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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