Organization
CHILDREN'S MEDICAL GROUP, INC
Active
Other names
Green Bay Mental Health Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA REUTEMAN (SR. CREDENTIALING COORDINATOR)
(414) 266-7615
Entity
Organization
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 404-2250
(414) 307-1850
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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