Healthcare Provider Details

I. General information

NPI: 1316825532
Provider Name (Legal Business Name): TURNING THE PAIGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2527 BRUCE CT
NEENAH WI
54956-6108
US

IV. Provider business mailing address

PO BOX 142
NEENAH WI
54957-0142
US

V. Phone/Fax

Practice location:
  • Phone: 920-744-5703
  • Fax:
Mailing address:
  • Phone: 920-214-5868
  • Fax: 920-694-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SASHA SUNDAY NEDEAU
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW, LCSW
Phone: 920-214-5868