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MANY ROADS CLINIC NPI 1366992695


NPI Information

NPI: 1366992695
Provider Name: MANY ROADS CLINIC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2510 E CAPITOL DR
SHOREWOOD, WI
ZIP 53211
Phone: (414) 975-8106
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MANY ROADS CLINIC is a professional counselor in Shorewood, WI. MANY ROADS CLINIC NPI is 1366992695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2510 E CAPITOL DR
SHOREWOOD, WI
ZIP 53211-136
Phone: (414) 975-8106

The provider's authorized official is Joseph Greco .
The authorized official title is Psychotherapist/owner and has the following contact phone number (414) 975-8106.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 12/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)15410-132WISCONSINNo
2101YP2500XCounselorProfessional4100-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.