MEDICARE: ANIMA FAMILY COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1083871503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANIMA FAMILY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2475 UNIVERSITY AVE
Second Line	:	SUITE A
City	:	GREEN BAY
State	:	WI
Zip	:	54302-5099
Country	:	US
Telephone Number	:	920-469-1201
Fax Number	:

Provider Business Practice Location Address
First Line	:	2475 UNIVERSITY AVE
Second Line	:	SUITE A
City	:	GREEN BAY
State	:	WI
Zip	:	54302-5099
Country	:	US
Telephone Number	:	920-469-1201
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NEIL FULLAN
Credential	:	MD
Telephone Number	:	920-371-6494

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

Similar Medicare Providers

1447262183 — NEIL P FULLAN M.D.
Practice Location Address:

2475 UNIVERSITY AVE STE A
GREEN BAY, WI
54302-5099

Practice Phone: 920-469-1201
Practice Fax: 920-469-3404

1558508564 — EVERGREEN FAMILY FOCUS, LLC
Practice Location Address:

2475 UNIVERSITY AVE , SUITE A
GREEN BAY, WI
54302-5099

Practice Phone: 920-469-1201
Practice Fax: 920-469-3404

1972939445 — JACLYN A WEISS LMFT
Practice Location Address:

2475 UNIVERSITY AVE , SUITE A
GREEN BAY, WI
54302-5099

Practice Phone: 920-469-1201
Practice Fax:

1992176861 — MIDWEST HOME HEALTH CARE
Practice Location Address:

2475 UNIVERSITY AVE , UNIT J
GREEN BAY, WI
54302-5099

Practice Phone: 920-965-9112
Practice Fax: 920-965-9111

1295226512 — PYRAMID PSYCHIATRIC CARE, LLC
Practice Location Address:

2475 UNIVERSITY AVE STE A
GREEN BAY, WI
54302-5099

Practice Phone: 920-632-2248
Practice Fax: 920-351-4826

1851385231 — BORNEMANN NURSING HOME INC
Practice Location Address:

226 BORNEMANN ST
GREEN BAY, WI
54302

Practice Phone: 920-468-8675
Practice Fax: 920-468-0667

Directions to “ANIMA FAMILY COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.