HARBOR HEALTH AND WELLNESS LLC NPI 1417359324

NPI Information

NPI: 1417359324
Provider Name: HARBOR HEALTH AND WELLNESS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2701 LARSEN RD STE 216
GREEN BAY, WI
ZIP 54303
Phone: (920) 883-6995
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HARBOR HEALTH AND WELLNESS LLC is a mental health counselor in Green Bay, WI. HARBOR HEALTH AND WELLNESS LLC NPI is 1417359324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 LARSEN RD STE 216
GREEN BAY, WI
ZIP 54303-863
Phone: (920) 883-6995
Fax: (920) 496-6009

The provider's authorized official is Michelle R Eddy .
The authorized official title is Owner/psychotherapist and has the following contact phone number (920) 883-6995.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 12/4/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6671-123	WISCONSIN	Yes
2	103T00000X	Psychologist		1598	WISCONSIN	No
3	1041C0700X	Social Worker	Clinical	6671-123	WISCONSIN	No

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

NPI Synchronization or Removal

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