Individual
GRACE NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 864-1141
Mailing address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 864-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19781-130
WI
101YM0800X
Mental Health Counselor
5404-226
WI
101YP2500X
Professional Counselor
Primary
11993-125
WI
Other
Enumeration date
03/29/2024
Last updated
08/20/2025
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