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Organization
NEW DEPTH COUNSELING & WELLNESS SERVICES, LLC
Active
Organization
NEW DEPTH COUNSELING & WELLNESS SERVICES, LLC
Active
Other names
New Depth Counseling & Wellness Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SHAW LCSW (CLINICAL SOCIAL WORKER)
(920) 301-3546
Entity
Organization
Contact information
Practice address
1345 W MASON ST STE 102, GREEN BAY, WI 54303-2049
(920) 301-3546
(920) 301-3400
Mailing address
N6921 WOODSIDE HILLS DR, SHEBOYGAN, WI 53083-1681
(920) 980-0316
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/23/2022
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