Organization · NPI-2

11:11 Courageous Wellbeing Collaborative

Social Worker, Clinical · Milwaukee, WI

NPI number1699685834
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1699685834
Entity type
Organization (NPI-2)
Legal business name
11:11 Courageous Wellbeing Collaborative
Organization subpart
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

2513a S Kinnickinnic Ave
Milwaukee, WI 53207-1619

Phone 920-932-1013

Mailing address

2513a S Kinnickinnic Ave
Milwaukee, WI 53207-1619

Phone 920-932-1013

Authorized official

Lane Melanie Morein
Owner
9209321013

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