| Catholic Charities Diocese Of Green Bay Inc | |
|
1825 Riverside Drive Green Bay WI 54305-3825 | |
| (920) 272-8234 | |
| (920) 437-4067 |
| Full Name | Catholic Charities Diocese Of Green Bay Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1825 Riverside Drive, Green Bay, Wisconsin |
| Authorized Official Name and Position | Karmen Lemke (DIRECTOR OF CATHOLIC CHARITIES) |
| Authorized Official Contact | 9202728226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Diocese Of Green Bay Inc Po Box 23825 Green Bay WI 54305-3825 Ph: (920) 272-8234 | Catholic Charities Diocese Of Green Bay Inc 1825 Riverside Drive Green Bay WI 54305-3825 Ph: (920) 272-8234 |
| NPI Number | 1376769117 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 4486695178 |
|---|---|
| Medicare Enrollment ID | O20050512000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376769117 | NPI | - | NPPES |
| 42167700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Debra A Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770660342 PECOS PAC ID: 5991987745 Enrollment ID: I20110315000776 |
| Provider Name | Julie Ann Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679959316 PECOS PAC ID: 8123466836 Enrollment ID: I20240401001398 |
| Provider Name | Heather Marie Novak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649671421 PECOS PAC ID: 5395183008 Enrollment ID: I20240401001456 |
| Provider Name | Amy Michele Wetzler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700124146 PECOS PAC ID: 4486092137 Enrollment ID: I20240401002643 |
Goodine Counseling Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Circle Dr Ste B, Green Bay, WI 54304 Phone: 920-660-9797 | |
Flourish Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2331 Velp Ave Ste H, Green Bay, WI 54303 Phone: 920-676-2609 | |
Thriveworks Clinical - Wisconsin Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 S Webster Ave Ste E, Green Bay, WI 54301 Phone: 855-284-7483 | |
Gam Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 Holmgren Way, Suite 203a, Green Bay, WI 54304 Phone: 920-339-9307 Fax: 920-339-9374 | |
Goodine Counseling Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Riverside Dr, Green Bay, WI 54301 Phone: 920-362-0447 | |
Healthy Hope Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Willard Dr Ste 136, Green Bay, WI 54304 Phone: 920-328-0717 Fax: 920-328-0715 | |
Julie Feld And Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Webster Ave, Green Bay, WI 54301 Phone: 920-884-8138 Fax: 920-884-8148 |