| Blue Iris Counseling Services Llc | |
|
1263 Main St Ste 122 Green Bay WI 54302-1341 | |
| (920) 315-8643 | |
| (920) 214-1274 |
| Full Name | Blue Iris Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1263 Main St Ste 122, Green Bay, Wisconsin |
| Authorized Official Name and Position | Megan Meyerhofer (OWNER) |
| Authorized Official Contact | 9203158643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Iris Counseling Services Llc 1263 Main St Ste 122 Green Bay WI 54302-1341 Ph: (920) 315-8643 | Blue Iris Counseling Services Llc 1263 Main St Ste 122 Green Bay WI 54302-1341 Ph: (920) 315-8643 |
| NPI Number | 1578439303 |
|---|---|
| Provider Enumeration Date | 10/17/2025 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578439303 | NPI | - | NPPES |
| 1063893667 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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