SHOREHAVEN BEHAVIORAL HEALTH INC NPI 1265564678

NPI Information

NPI: 1265564678
Provider Name: SHOREHAVEN BEHAVIORAL HEALTH INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2314 N GRANDVIEW
SUITE 309
WAUKESHA, WI
ZIP 53188
Phone: (414) 540-2170
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SHOREHAVEN BEHAVIORAL HEALTH INC is a professional counselor in Waukesha, WI. SHOREHAVEN BEHAVIORAL HEALTH INC NPI is 1265564678. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2314 N GRANDVIEW
SUITE 309
WAUKESHA, WI
ZIP 53188
Phone: (414) 540-2170
Fax: (414) 540-2171

The provider's authorized official is Don David Rosenberg .
The authorized official title is President and has the following contact phone number (414) 540-2170.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.

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	Primary
1	101YP2500X	Counselor	Professional	Yes
2	103G00000X	Clinical Neuropsychologist		X
3	104100000X	Social Worker		X

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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