Organization · Type 2 NPI

Mind and Medical Wellness LLC

Professional Counselor · Port Edwards, WI

NPI number 1962318725 Active

Practice location

331 1st St
Port Edwards, WI 54469-1412

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

Another provider at this address

About NPI 1962318725

Mind and Medical Wellness LLC's National Provider Identifier is 1962318725, issued on Aug 21, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Edwards, WI. The record was last updated on Aug 21, 2026.