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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