Harbor Health and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6671-123 Issued in WI

Legal business name

HARBOR HEALTH AND WELLNESS LLC

Practice address

2701 Larsen Rd Ste 216
Green Bay, WI 54303-4863

Phone

(920) 883-6995

Fax

(920) 496-6009

NPI assigned

Sep 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle R Eddy, MSW,LCSW

Title

Owner/Psychotherapist

Phone

(920) 883-6995

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1417359324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LARSEN RD STE 216",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034863",
            "telephone_number": "920-883-6995",
            "fax_number": "920-496-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 LARSEN RD STE 216",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034863",
            "telephone_number": "920-883-6995",
            "fax_number": "920-496-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-883-6995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6671-123",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6671-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Catherine Hanstedt, MA, CCC/SLP
• Ravindra Hanumaiah, M.D.
• Jennah A.L. Haque, APNP
• Kara H Harbick, MD
• Harbor Community Psychological Associates SC
• Lourica Ellis Hardin, HEALTH EDUCATOR
• Judith A Harding, APNP
• Barbara A. Harkness, M.D.
• Christine Lee Harkness, SLP
• Jill P Harman, M.D.

• Mental Health Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.