Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innovative Wisconsin, LLC

Organization Community/Behavioral Health Agency · NPI 1871972349

Innovative Wisconsin, LLC is a Community/Behavioral Health Agency in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

445 S Madison St
Green Bay, WI 54301-4101
Phone: (920) 431-0962
Fax: (920) 884-1967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (WI)

Record details

NPI number1871972349
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovative Services, Inc
Authorized official Drue Ray — Officer · (828) 684-8441
NPI enumeratedMay 29, 2015
Last updated in NPPESMay 29, 2015
Mailing address445 S Madison St, Green Bay, WI 54301-4101

Other providers in Green Bay