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Organization
MERAKI THERAPY & WELLNESS, LLC
Active
Organization
MERAKI THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WAACK MAC, LPC, CSAC (CO-OWNER)
(920) 288-2846
Entity
Organization
Contact information
Practice address
1270 MAIN ST STE 120, GREEN BAY, WI 54302-1337
(920) 378-3575
Mailing address
1270 MAIN ST STE 120, GREEN BAY, WI 54302-1337
(920) 288-2846
(920) 770-4153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095134
—
WI
05
—
1336784545
—
WI
Enumeration date
05/18/2022
Last updated
11/13/2022
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