| Creative Wellness, LLC | |
|
617 George St De Pere WI 54115-2809 | |
| (920) 351-8772 | |
| Not Available |
| Full Name | Creative Wellness, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 617 George St, De Pere, Wisconsin |
| Authorized Official Name and Position | Katherine Ann Szerkins (OWNER) |
| Authorized Official Contact | 9203518772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Wellness, LLC 617 George St De Pere WI 54115-2809 Ph: (920) 351-8772 | Creative Wellness, LLC 617 George St De Pere WI 54115-2809 Ph: (920) 351-8772 |
| NPI Number | 1346093820 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/06/2026 |
| Certification Date | 04/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346093820 | NPI | - | NPPES |
| 100394812 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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