Healthcare Provider Details

I. General information

NPI: 1033053160
Provider Name (Legal Business Name): REFUGE COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 W COLLEGE AVE
APPLETON WI
54914-5290
US

IV. Provider business mailing address

961 SUND ST
NEENAH WI
54956-3908
US

V. Phone/Fax

Practice location:
  • Phone: 920-239-4400
  • Fax: 920-532-1052
Mailing address:
  • Phone: 920-239-4400
  • Fax: 920-532-1052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIM M TRUDELL
Title or Position: OWNER
Credential: LCSW
Phone: 920-239-4400