Provider Demographics
NPI:1326856485
Name:MEANINGFUL CONNECTIONS THERAPY
Entity type:Organization
Organization Name:MEANINGFUL CONNECTIONS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JESKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:715-822-0690
Mailing Address - Street 1:987 CLAM FALLS DR
Mailing Address - Street 2:
Mailing Address - City:FREDERIC
Mailing Address - State:WI
Mailing Address - Zip Code:54837-4704
Mailing Address - Country:US
Mailing Address - Phone:715-822-0690
Mailing Address - Fax:
Practice Address - Street 1:241 S MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:LUCK
Practice Address - State:WI
Practice Address - Zip Code:54853-7100
Practice Address - Country:US
Practice Address - Phone:715-822-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty