MS. ELAINE THERESE CONWAY (NPI# 1770776429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770776429 |
Entity Type | Individual |
Full Name | MS. ELAINE THERESE CONWAY |
Other Name | ELAINE CONWAY MELLEN |
Credential | MS, LPC |
Practice Address |
934 S Clay St Green Bay WI 54301-3419 |
Mailing Address |
3900 W Brown Deer Rd Suite 200 Brown Deer WI 53209-1220 |
Practice Telephone | 9208196570 |
Mailing Telephone | 4145402170 |
Mailing Fax Number | 4145402171 |
Enumeration Date | 2007-08-24 |
Last Update Date | 2008-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3537-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40953300 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376009662 | Elaine Yuhas Conway | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2019-02-12 |
Street Address |
934 S CLAY ST |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
Find all providers in zip 54301 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801426432 | Sarah Jane Peters | Counselor | 1234 Main St Ste 21, Green Bay, WI 54302-1307 | 2020-01-23 |
1871066696 | Theresa Bilgo | Counselor | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-01-03 |
1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1245612217 | Chris Olejniczak | Counselor | 2920 S Webster Ave Ste B, Green Bay, WI 54301-1594 | 2015-06-25 |
1588904726 | Kimberly Ann Page Stone | Counselor | 2970 Mossy Oak Cir, Apartment 92, Green Bay, WI 54311-7129 | 2013-02-26 |
1285981779 | Michelle R Eddy | Counselor | 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 | 2012-08-14 |
1467719211 | Kristin M. Shaw | Counselor | 414 E Walnut St Ste 210, Green Bay, WI 54301-5020 | 2012-04-18 |
1720264195 | Linda A Carmody, Ms, Lpc | Counselor | 1496 Bellevue St Ste 101, Green Bay, WI 54311-4205 | 2008-01-16 |
1801916978 | Maureen L Sinkler | Counselor | 131 Tonatiuh Ln, Green Bay, WI 54301-2911 | 2007-03-30 |
Find all providers in GREEN BAY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.