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NPI Code Detail

MEDICARE: MRS. GELETTA BALL

MEDICARE: MRS. GELETTA BALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor16684-130WI

General Provider Information

NPI Number : 1215334842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GELETTA BALL
Provider Business Mailing Address
First Line : 8444 N 90TH ST STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4437
Country : US
Telephone Number : 602-248-8886
Fax Number : 602-854-0504
Provider Business Practice Location Address
First Line : 7600 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-2055
Country : US
Telephone Number : 414-905-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2014
Last Update Date : 05/05/2026

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Directions to “ MRS. GELETTA BALL ” Practice Location

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