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Organization
WISCONSIN WELLNESS MH, LLC
Active
Organization
WISCONSIN WELLNESS MH, LLC
Active
Other names
Wisconsin Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOSEPH ROHDE (EXECUTIVE DIRECTOR)
(715) 281-0612
Entity
Organization
Contact information
Practice address
5643 W WATERFORD LN, APPLETON, WI 54913-8438
(920) 404-2100
Mailing address
5643 W WATERFORD LN, APPLETON, WI 54913-8438
(920) 404-2100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
04/26/2024
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