KRISTA SHABTAIE LCSW NPI 1578178315

NPI Information

KRISTA SHABTAIE LCSW is a mental health (including community mental health center) clinic center in Milwaukee, WI. KRISTA SHABTAIE LCSW NPI is 1578178315. The provider is registered as an organization entity type.

The provider's business location address is:

933 N MAYFAIR RD STE 101
MILWAUKEE, WI
ZIP 53226-432
Phone: (413) 478-8760
Fax: (414) 249-5443

The provider's authorized official is Krista Shabtaie .
The authorized official title is Social Worker -- Owner and has the following contact phone number (413) 478-8760.

The enumeration date for this NPI number is 9/9/2020 and was last updated on 9/9/2020.

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:

Other Identifiers

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