Kavicky-Mels, Tanya V

Kavicky-Mels, Tanya V is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kavicky-Mels, Tanya V can be contacted via phone (920) 433-3630.

Contact Information

Primary practice address
301 E Saint Joseph St Green Bay WI 54301-2241
Phone: (920) 433-3630
Fax: (920) 437-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1086-124 Wisconsin

Profile Details

NPI number 1891057303
LBN Legal business name Kavicky-Mels, Tanya V
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891057303 NPPES
California MEDICAID 1891057303

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