| Northern Woods Wellness Llc | |
|
1235a Menomonie St Eau Claire WI 54703-5974 | |
| (715) 598-1568 | |
| (715) 800-0104 |
| Full Name | Northern Woods Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1235a Menomonie St, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Timothy Ryan Foster (OWNER/THERAPIST) |
| Authorized Official Contact | 7156001966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Woods Wellness Llc 1235a Menomonie St Eau Claire WI 54703-5974 Ph: (715) 598-1568 | Northern Woods Wellness Llc 1235a Menomonie St Eau Claire WI 54703-5974 Ph: (715) 598-1568 |
| NPI Number | 1285447292 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285447292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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