Provider Demographics
NPI:1851954010
Name:NUWAVE COUNSELING LLC
Entity Type:Organization
Organization Name:NUWAVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:920-423-5800
Mailing Address - Street 1:1366 APPLETON RD OFC 2
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-1515
Mailing Address - Country:US
Mailing Address - Phone:920-423-5800
Mailing Address - Fax:920-423-5810
Practice Address - Street 1:1366 APPLETON RD OFC 2
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-1515
Practice Address - Country:US
Practice Address - Phone:920-423-5800
Practice Address - Fax:920-423-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)