Organization
SJ COMMUNITY COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMELLA JOLLY LCSW (PRINCIPAL)
(414) 339-5595
Entity
Organization
Contact information
Practice address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(920) 200-5594
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(920) 200-5594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
04/13/2026
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