Organization
CARAVEL COUNSELING AND DIAGNOSTICS SC
Active
Parent organization
CARAVEL AUTISM HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARAVEL AUTISM HEALTH, LLC
Authorized official
MICHAEL MILLER (CEO)
(920) 857-9041
Entity
Organization
Contact information
Practice address
700 COMMERCE DR STE 260, WOODBURY, MN 55125-9243
(920) 857-9041
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/20/2021
Last updated
08/05/2025
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