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NEW WELLNESS ASSOCIATES INC. NPI 1275650673


NPI Information

NPI: 1275650673
Provider Name: NEW WELLNESS ASSOCIATES, INC.

Doing Business As: NEW WELLNESS ASSOCIATES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2733 S RIDGE RD
GREEN BAY, WI
ZIP 54304
Phone: (920) 497-6200
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NEW WELLNESS ASSOCIATES, INC. is a mental health counselor in Green Bay, WI. NEW WELLNESS ASSOCIATES, INC. NPI is 1275650673. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Wellness Associates.

The provider's business location address is:

2733 S RIDGE RD
GREEN BAY, WI
ZIP 54304-513
Phone: (920) 497-6200
Fax: (920) 497-3135

The provider's authorized official is Joann M Berken .
The authorized official title is Office Manager and has the following contact phone number (920) 497-6200.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 1/17/2008.


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
1101YM0800XCounselorMental Health1669WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142174300MEDICAIDWISCONSIN

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: 4/28/2024

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