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EMBODIED-WELLLBEING
NPI 1124730023
Counselor - Professional in Green Bay, WI

Active since December 22, 2022
2501 JENNY LANE, GREEN BAY, WI 54302(920) 212-7523 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Dec 22, 2022 (2 updates tracked since 2022).

About Embodied-welllbeing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBODIED-WELLLBEING (NPI 1124730023) is a healthcare organization registered as a professional in Green Bay, Wisconsin and active in the NPI registry since December 2022. The organization lists Keith Paul Neilitz, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1124730023
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEMBODIED-WELLLBEING
Location Address2501 JENNY LANEGreen Bay, WI 54302
Mailing Address2501 Jenny Ln Apt 8Green Bay, WI 54302-5039 · (920) 521-8940
Phone(920) 212-7523
Organization SubpartNo
Authorized OfficialKeith Paul NeilitzClinical Therapist · (920) 521-8940
Enumeration DateDecember 22, 2022
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1124730023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2501 JENNY LANE, Green Bay, WI 54302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embodied-Welllbeing's NPI number?

The NPI number for Embodied-Welllbeing is 1124730023. It was assigned to this organization in the NPPES registry on December 22, 2022.

Where is Embodied-Welllbeing located?

Embodied-Welllbeing is located at 2501 Jenny Lane, Green Bay, WI 54302. The listed phone number is (920) 212-7523.

What is Embodied-Welllbeing's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Embodied-Welllbeing was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.