| Northeast Wisconsin Wellness Associates, Llc | |
|
1941 Lehrer Ln Kaukauna WI 54130-7704 | |
| (920) 766-5040 | |
| (920) 497-3135 |
| Full Name | Northeast Wisconsin Wellness Associates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1941 Lehrer Ln, Kaukauna, Wisconsin |
| Authorized Official Name and Position | Diane Moga Roach (OWNER) |
| Authorized Official Contact | 9207665040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Wisconsin Wellness Associates, Llc 1941 Lehrer Ln Kaukauna WI 54130-7704 Ph: (920) 766-5040 | Northeast Wisconsin Wellness Associates, Llc 1941 Lehrer Ln Kaukauna WI 54130-7704 Ph: (920) 766-5040 |
| NPI Number | 1699530683 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699530683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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