Nvw Newco, LLC

NPI #1639557895 in Medford, Wisconsin

Provider Information

NPI Number: 1639557895
Entity Type: Organization
Organization Name: Nvw Newco, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 8, 2015
Last Updated: Apr 14, 2025

Practice Location

Address: W10649 PERKINSTOWN AVE
City: Medford
State: Wisconsin
ZIP Code: 54451-8915
Phone: (715) 748-0251

Authorized Official

Name: SHARNELL SPENCER
Title: CREDENTIALING MANAGER
Phone: (661) 239-6923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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