TREATMENT PROVIDERS LLC (NPI# 1518498047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518498047 |
Entity Type | Organization |
Organization Name | TREATMENT PROVIDERS LLC |
Practice Address |
2731 N Packerland Dr Ste A Green Bay WI 54303 |
Mailing Address |
2731 N Packerland Dr Suite A Green Bay WI 54303-4855 |
Practice Telephone | 9207705061 |
Practice Fax Number | 9207705467 |
Mailing Telephone | 9207705061 |
Enumeration Date | 2017-03-26 |
Last Update Date | 2019-12-19 |
Authorized Official Name | DR. ADEYEMI OLUDARE FATOKI (MEDICAL DIRECTOR/PARTNER) |
Authorized Official Telephone | 9207705061 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
2731 N PACKERLAND DR STE A |
City | GREEN BAY |
State | WI |
Zip Code | 54303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
Find all providers in zip 54303 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709159 | Thrive Consulting and Wellness, LLC | Clinic/Center | 715 Hill St Ste 250a, Madison, WI 53705-3572 | 2020-01-11 |
1699314864 | Joyce's House of Milwaukee | Clinic/Center | 2811 W North Ave, Milwaukee, WI 53208-1551 | 2020-01-05 |
1073151874 | Mahala's Hope, Inc. | Clinic/Center | N4590 Us Highway 45, Eden, WI 53019-1212 | 2019-12-12 |
1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
1669889283 | Roots Counseling Services, LLC | Clinic/Center | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2014-07-15 |
1124372586 | Jessie Crawford Recovery Center, Inc. | Clinic/Center | 2101 N Sherman Ave, Madison, WI 53704-3932 | 2012-11-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.