| Cherry Blossom Healing, Llc | |
|
145 W Wisconsin Ave Neenah WI 54956-3075 | |
| (920) 725-1230 | |
| (920) 215-6164 |
| Full Name | Cherry Blossom Healing, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 145 W Wisconsin Ave, Neenah, Wisconsin |
| Authorized Official Name and Position | Lisa T. Wood (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9202138137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Blossom Healing, Llc 1314 Mayer St Menasha WI 54952-1405 Ph: (920) 213-8137 | Cherry Blossom Healing, Llc 145 W Wisconsin Ave Neenah WI 54956-3075 Ph: (920) 725-1230 |
| NPI Number | 1740968825 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740968825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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