| Wings Of Eagles Counseling Clinic | |
|
217 N Madison St Suite 4 Green Bay WI 54301-5103 | |
| (920) 227-7078 | |
| (920) 273-8847 |
| Full Name | Wings Of Eagles Counseling Clinic |
|---|---|
| Speciality | Case Management |
| Location | 217 N Madison St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Leslie C Ousley (COUNSELOR) |
| Authorized Official Contact | 9202283199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Eagles Counseling Clinic 217 N Madison St Suite 4 Green Bay WI 54301-5103 Ph: (920) 227-7078 | Wings Of Eagles Counseling Clinic 217 N Madison St Suite 4 Green Bay WI 54301-5103 Ph: (920) 227-7078 |
| NPI Number | 1982000154 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982000154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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