NPI 1851155048
Jasper Wellness Group LLC
Practice location
- Address
- 1311 N Danz Ave, Green Bay, WI 54302-3005
- Phone
- (920) 676-9697
- Mailing address
- 2055 S Tanager Ln, Suamico, WI 54313-4003
Authorised official
- Name
- Amanda L Suthers
- Title
- Ceo
- Phone
- (920) 676-9697
Registered specialties (7)
Substance Abuse Rehabilitation Facility
Primary
Addiction (Substance Use Disorder) Counselor
Mental Health Counselor
Addiction (Substance Use Disorder) Registered Nurse
Peer Specialist
Case Management Agency
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1851155048
- Entity type
- Organization
- NPI issued
- 8 Feb 2024
- Record last updated
- 1 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.