Jasper Wellness Group Llc
LBN: Jasper Wellness Group Llc
Jasper Wellness Group Llc is an health care organization with primary practice located at 1311 N Danz Ave , Green Bay WI 54302-3005. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Jasper Wellness Group Llc can be contacted via phone (920) 676-9697, or through Suthers, Amanda L via phone (920) 676-9697.
Contact Information
Primary practice address
1311 N Danz Ave
Green Bay WI 54302-3005
Phone: (920) 676-9697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | ||
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1851155048 |
|---|---|
| LBN Legal business name | Jasper Wellness Group Llc |
| DBA Doing business as | |
| Authorized official | Suthers, Amanda L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2024 |
| Last updated | Mar 1st, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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