EMBODIED-WELLLBEING NPI 1124730023

NPI Information

  • NPI: 1124730023
  • Provider Name: EMBODIED-WELLLBEING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 2501 JENNY LANE
    GREEN BAY, WI
    ZIP 54302
  • Phone: (920) 212-7523

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NPI Details

EMBODIED-WELLLBEING is a professional counselor in Green Bay, WI. EMBODIED-WELLLBEING NPI is 1124730023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 JENNY LANE
GREEN BAY, WI
ZIP 54302
Phone: (920) 212-7523

The provider's authorized official is Keith Paul Neilitz .
The authorized official title is Clinical Therapist and has the following contact phone number (920) 521-8940.

The enumeration date for this NPI number is 12/22/2022 and was last updated on 11/3/2023.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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