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NPI Code Detail

MEDICARE: INNER SOLACE COUNSELING LLC

MEDICARE: INNER SOLACE COUNSELING LLC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1922963164
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNER SOLACE COUNSELING LLC
Provider Business Mailing Address
First Line : PO BOX 471
Second Line :
City : WAUKESHA
State : WI
Zip : 53187-0471
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 235 JASPER LN
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-3100
Country : US
Telephone Number : 262-282-3627
Fax Number :
Authorized Official
Title or Position : LPC
Name : HALEY LEMIRE
Credential : LPC
Telephone Number : 262-282-3627
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “INNER SOLACE COUNSELING LLC ” Practice Location

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