| Wennesheimer Therapy Solutions Llc | |
|
1375 North Rd Green Bay WI 54313-5723 | |
| (920) 562-1699 | |
| (920) 250-8089 |
| Full Name | Wennesheimer Therapy Solutions Llc |
|---|---|
| Speciality | Counselor |
| Location | 1375 North Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Heidi Marie Wennesheimer (OWNER) |
| Authorized Official Contact | 9205621699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wennesheimer Therapy Solutions Llc 1375 North Rd Green Bay WI 54313-5723 Ph: (920) 562-1699 | Wennesheimer Therapy Solutions Llc 1375 North Rd Green Bay WI 54313-5723 Ph: (920) 562-1699 |
| NPI Number | 1518771286 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Medicare PECOS PAC ID | 4082139241 |
|---|---|
| Medicare Enrollment ID | O20250421001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518771286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heidi Marie Wennesheimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689236531 PECOS PAC ID: 5991220154 Enrollment ID: I20250421001114 |
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