Healthcare Provider Details

I. General information

NPI: 1174409569
Provider Name (Legal Business Name): SCHOLL COMMUNITY IMPACT GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13141 OLD W ROAD
WINCHESTER WI
54557-8985
US

IV. Provider business mailing address

13141 OLD W ROAD
WINCHESTER WI
54557-8985
US

V. Phone/Fax

Practice location:
  • Phone: 715-493-3534
  • Fax:
Mailing address:
  • Phone: 715-493-3534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. LENELLE MAE SCHOLL
Title or Position: DIRECTOR, SCHOLL COMMUNITY IMPACT
Credential:
Phone: 715-493-3534