Healthcare Provider Details

I. General information

NPI: 1184354177
Provider Name (Legal Business Name): BLUE SKIES COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 HOFFMAN RD STE 170
GREEN BAY WI
54311-6232
US

IV. Provider business mailing address

1671 HOFFMAN RD STE 170
GREEN BAY WI
54311-6232
US

V. Phone/Fax

Practice location:
  • Phone: 920-288-2233
  • Fax: 920-486-9355
Mailing address:
  • Phone: 920-288-2233
  • Fax: 920-486-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VANESSA BLANCHETTE
Title or Position: OWNER
Credential: LCSW
Phone: 920-288-2233