| Changing Habits, LLC | |
|
1030 W Hawes Ave Appleton WI 54914-2722 | |
| (920) 570-1904 | |
| (877) 673-1148 |
| Full Name | Changing Habits, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1030 W Hawes Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | James Baer (PRESIDENT) |
| Authorized Official Contact | 9205701904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Habits, LLC 1030 W Hawes Ave Appleton WI 54914-2722 Ph: (920) 570-1904 | Changing Habits, LLC 1030 W Hawes Ave Appleton WI 54914-2722 Ph: (920) 570-1904 |
| NPI Number | 1952557894 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952557894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3596-125 (Wisconsin) | Primary |
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