| Foundations Health And Wholeness Inc | |
|
Foundations Health And Wholeness Inc 1061 W Mason St. Green Bay WI 54303-1858 | |
| (920) 437-8256 | |
| (920) 437-1188 |
| Full Name | Foundations Health And Wholeness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Foundations Health And Wholeness Inc, Green Bay, Wisconsin |
| Authorized Official Name and Position | Julaine Belinda Feld (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9204378256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Health And Wholeness Inc Foundations Health And Wholeness Inc 1061 W. Mason St. Green Bay WI 54303-1858 Ph: (920) 437-8256 | Foundations Health And Wholeness Inc Foundations Health And Wholeness Inc 1061 W Mason St. Green Bay WI 54303-1858 Ph: (920) 437-8256 |
| NPI Number | 1497840607 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 5597659631 |
|---|---|
| Medicare Enrollment ID | O20040210001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497840607 | NPI | - | NPPES |
| 42180100 | Medicaid | WI |
| Provider Name | Julaine B Feld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194883587 PECOS PAC ID: 4284535543 Enrollment ID: I20040119000639 |
| Provider Name | Cynthia S Heffernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598839862 PECOS PAC ID: 9335307693 Enrollment ID: I20120216000424 |
| Provider Name | Claudia J Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588837868 PECOS PAC ID: 9739367426 Enrollment ID: I20150313000403 |
| Provider Name | Lana C Cheslock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295154987 PECOS PAC ID: 8820389752 Enrollment ID: I20160623000284 |
| Provider Name | Michelle L Schoenleber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326564949 PECOS PAC ID: 4486911260 Enrollment ID: I20171204000809 |
| Provider Name | Kenneth Sann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134690993 PECOS PAC ID: 1254670409 Enrollment ID: I20190305002526 |
| Provider Name | Ryan Patrick Good |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104458249 PECOS PAC ID: 2466797618 Enrollment ID: I20210205000239 |
| Provider Name | Jessa Michelle Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235849613 PECOS PAC ID: 1254776214 Enrollment ID: I20240229000944 |
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