Organization
EMBODIED-WELLBEING LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH PAUL NEILITZ LPC (CLINICAL THERAPIST)
(920) 521-8940
Entity
Organization
Contact information
Practice address
2701 LARSEN RD # BA109, GREEN BAY, WI 54303-4863
(920) 521-8940
Mailing address
2701 LARSEN RD # BA109, GREEN BAY, WI 54303-4863
(920) 521-8940
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/21/2022
Last updated
05/27/2023
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