Healthcare Provider Details

I. General information

NPI: 1952266405
Provider Name (Legal Business Name): SEEDS OF GREATNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 SOMERSET DR
GREEN BAY WI
54301-2724
US

IV. Provider business mailing address

572 SOMERSET DR
GREEN BAY WI
54301-2724
US

V. Phone/Fax

Practice location:
  • Phone: 414-732-5758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BOYD
Title or Position: MANAGING MEMBER
Credential:
Phone: 414-732-5758