Organization
POWER FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE ANTHONY SHEFCHIK MA, LPC, NCC (CLINICAL DIRECTOR)
(920) 770-4088
Entity
Organization
Contact information
Practice address
123 N OAKLAND AVE, GREEN BAY, WI 54303-2831
(920) 770-4088
(920) 496-7922
Mailing address
123 N OAKLAND AVE, GREEN BAY, WI 54303-2831
(920) 770-4088
(651) 705-0026
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013205
—
WI
Enumeration date
01/04/2011
Last updated
11/16/2021
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