MOLLEA ROSEANNA GREYLORD SAC-IT
NPI 1407521511
Counselor - Addiction (Substance Use Disorder) in Fond Du Lac, WI

Active since August 11, 2021
423 PINE TREE DR, FOND DU LAC, WI 54935(920) 948-9741 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mollea Roseanna Greylord Sac-it NPPES

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

MOLLEA ROSEANNA GREYLORD SAC-IT (NPI 1407521511) is an individual addiction (substance use disorder) provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (19365-130) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1407521511
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMOLLEA ROSEANNA GREYLORDCredential: SAC-IT
Location Address423 PINE TREE DRFond Du Lac, WI 54935-5474
Mailing Address423 Pine Tree DrFond Du Lac, WI 54935-5474 · (920) 948-9741
Sole ProprietorNo
Enumeration DateAugust 11, 2021
Last NPPES UpdateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
NPI 1407521511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 19365-130
423 PINE TREE DR, Fond Du Lac, WI 54935

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 Mollea Greylord's NPI number?

The NPI number for Mollea Greylord is 1407521511. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Mollea Greylord located?

Mollea Greylord practices at 423 Pine Tree Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 948-9741.

What is Mollea Greylord's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mollea Greylord was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.