Wisconsin Wellness Mh, Llc | |
5643 W Waterford Ln Appleton WI 54913-8438 | |
(920) 404-2100 | |
Not Available |
Full Name | Wisconsin Wellness Mh, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 5643 W Waterford Ln, Appleton, Wisconsin |
Authorized Official Name and Position | Ryan Joseph Rohde (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7152810612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wisconsin Wellness Mh, Llc 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 | Wisconsin Wellness Mh, Llc 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 |
NPI Number | 1548041924 |
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Provider Enumeration Date | 10/11/2023 |
Last Update Date | 10/11/2023 |
Certification Date | 10/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548041924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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