Organization
HARBOR HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE R EDDY MSW,LCSW (OWNER/PSYCHOTHERAPIST)
(920) 883-6995
Entity
Organization
Contact information
Practice address
2701 LARSEN RD STE 216, GREEN BAY, WI 54303-4863
(920) 883-6995
(920) 496-6009
Mailing address
2701 LARSEN RD STE 216, GREEN BAY, WI 54303-4863
(920) 883-6995
(920) 496-6009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6671-123
WI
103T00000X
Psychologist
1598
WI
1041C0700X
Clinical Social Worker
6671-123
WI
Other
Enumeration date
09/23/2014
Last updated
12/04/2017
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