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

Northeast Wisconsin Wellness Associates, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1699530683

Northeast Wisconsin Wellness Associates, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kaukauna, Wisconsin. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

1941 Lehrer Ln
Kaukauna, WI 54130-7704
Phone: (920) 766-5040
Fax: (920) 497-3135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2830 Ramada Way Lowr Level, Green Bay, WI 54304-5700 — (920) 497-6200

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1699530683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Moga Roach — Owner · (920) 766-5040
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address1941 Lehrer Ln, Kaukauna, WI 54130-7704

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