MRS. BONNEKA TIFFANY SEALS MS NCCLPCCSAC NPI 1093163065

NPI Information

NPI: 1093163065
Provider Name: MRS. BONNEKA TIFFANY SEALS, MS, NCC,LPC,CSAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3235 N 124TH ST
BROOKFIELD, WI
ZIP 53005
Phone: (262) 290-3315
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MRS. Bonneka Tiffany Seals, MS, NCC,LPC,CSAC is a mental health counselor in Brookfield, WI. MRS. Bonneka Tiffany Seals, MS, NCC,LPC,CSAC NPI is 1093163065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3235 N 124TH ST
BROOKFIELD, WI
ZIP 53005
Phone: (262) 290-3315

The enumeration date for this NPI number is 5/31/2016 and was last updated on 6/2/2022.

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
1	101YP2500X	Counselor	Professional	6744-125	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	6744-125	WISCONSIN	Yes
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16190-132	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100057092	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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