New Changes Llc | |
3311 Packerland Dr Ste A #19 De Pere WI 54115-9539 | |
(920) 530-4433 | |
(920) 688-4261 |
Full Name | New Changes Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3311 Packerland Dr Ste A, De Pere, Wisconsin |
Authorized Official Name and Position | Bobbie Jo L Bleser (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 9205304433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Changes Llc 2373 Yolanda Cir Green Bay WI 54303-6202 Ph: (920) 676-6447 | New Changes Llc 3311 Packerland Dr Ste A #19 De Pere WI 54115-9539 Ph: (920) 530-4433 |
NPI Number | 1356190904 |
---|---|
Provider Enumeration Date | 05/16/2024 |
Last Update Date | 05/16/2024 |
Certification Date | 05/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356190904 | NPI | - | NPPES |
100021415 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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