Provider Demographics
NPI:1174409569
Name:SCHOLL COMMUNITY IMPACT GROUP, INC
Entity type:Organization
Organization Name:SCHOLL COMMUNITY IMPACT GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SCHOLL COMMUNITY IMPACT
Authorized Official - Prefix:MS
Authorized Official - First Name:LENELLE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:SCHOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-493-3534
Mailing Address - Street 1:13141 OLD W ROAD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:WI
Mailing Address - Zip Code:54557-8985
Mailing Address - Country:US
Mailing Address - Phone:715-493-3534
Mailing Address - Fax:
Practice Address - Street 1:13141 OLD W ROAD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:WI
Practice Address - Zip Code:54557-8985
Practice Address - Country:US
Practice Address - Phone:715-493-3534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child