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WING OF EAGLES CORP NPI 1164889770


NPI Information

NPI: 1164889770
Provider Name: WING OF EAGLES CORP

Doing Business As: WINGS OF EAGLES COUNSELING CLINIC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
217 N MADISON ST
SUITE 4
GREEN BAY, WI
ZIP 54301
Phone: (920) 227-7078
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WING OF EAGLES CORP is a community behavioral health in Green Bay, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WING OF EAGLES CORP NPI is 1164889770. The provider is registered as an organization entity type.
The provider Is Doing Business As Wings Of Eagles Counseling Clinic.

The provider's business location address is:

217 N MADISON ST
SUITE 4
GREEN BAY, WI
ZIP 54301-103
Phone: (920) 227-7078
Fax: (920) 273-8847

The provider's authorized official is Leslie Carroll Ousley .
The authorized official title is Counselor/ceo and has the following contact phone number (920) 228-3199.

The enumeration date for this NPI number is 1/27/2016 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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