A Village LLC
Organization Active NPI Mental Health Counselor · Appleton, WI
NPI 1699233270 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1699233270
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- A VILLAGE LLC
- Practice address
- 2031 E Calumet St
Appleton, WI 54915-4742 - Phone
- (920) 809-6766
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Teresa Gross
- Title
- Owner
- Phone
- (920) 809-6766
Practitioners 3
-
Teresa Gross, LPC, SACIT
-
Satia Kavanaugh Vanderloop, PHD, CRC, LPC, CSAC
-
Ellen J. Lutz, L.P.C.
National Provider Directory
Locations
2031 E Calumet St
Appleton, WI 54915
Phone (920) 809-6766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
2031 E Calumet St
Appleton, WI 54915-4742
Mailing address
PO Box 172
Appleton, WI 54912-0172
Phone (920) 809-6766
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.