| Northeast Wisconsin Wellness Associates, Llc | |
|
1941 Lehrer Ln Kaukauna WI 54130-7704 | |
| (920) 766-5040 | |
| (920) 497-3135 |
| Full Name | Northeast Wisconsin Wellness Associates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1941 Lehrer Ln, Kaukauna, Wisconsin |
| Authorized Official Name and Position | Diane Moga Roach (OWNER) |
| Authorized Official Contact | 9207665040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Wisconsin Wellness Associates, Llc 1941 Lehrer Ln Kaukauna WI 54130-7704 Ph: (920) 766-5040 | Northeast Wisconsin Wellness Associates, Llc 1941 Lehrer Ln Kaukauna WI 54130-7704 Ph: (920) 766-5040 |
| NPI Number | 1699530683 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699530683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
New Wellness Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 Crooks Ave, Kaukauna, WI 54130 Phone: 920-766-5040 Fax: 920-497-3135 | |
Fox Valley Autism Treatment Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W556 Wrightstown Rd, Kaukauna, WI 54130 Phone: 920-205-0475 | |
Creative Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Suite D, Kaukauna, WI 54130 Phone: 920-209-0844 | |
Mindful Matters Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W2274 Out Of Town Ln, Kaukauna, WI 54130 Phone: 920-209-0604 | |
Creative Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-470-8359 Fax: 920-843-9381 |