Lakeshore Clinic Ltd in Milwaukee - Mental Health (including Community Mental Health Center)
Lakeshore Clinic Ltd - NPI 1407925985
Lakeshore Clinic Ltd is a Mental Health (including Community Mental Health Center) in Milwaukee, Wisconsin. Lakeshore Clinic Ltd practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Lakeshore Clinic Ltd is 1407925985. The last update date is 2020-08-22.
Lakeshore Clinic Ltd's current location address is 3970 N Oakland Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149629909 and fax number 4143328596. The mailing address for Lakeshore Clinic Ltd is 3970 N Oakland Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Clinic Ltd |
|---|---|
| Address | 3970 N Oakland Ave, Milwaukee, Wisconsin |
| Phone Number | 4149629909 |
| Fax Number | 4143328596 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Briceno K Patricia |
| Credentials | MS LCSW |
| Telephone Number | 4149629909 |
NPI Number Detail
| NPI Number | 1407925985 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3970 N Oakland Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53211 |
| Phone Number | 4149629909 |
| Fax Number | 4143328596 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 1497 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42106900 | WI | -- |
Post Comment/ Review Below
What is the Lakeshore Clinic Ltd's 1407925985?
The Lakeshore Clinic Ltd's NPI (National Provider Identifier) Number is 1407925985. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lakeshore Clinic Ltd?
The Lakeshore Clinic Ltd is situated at 3970 N Oakland Ave, in the city of Milwaukee, state of WI, with the zip code 53211.
What is Lakeshore Clinic Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lakeshore Clinic Ltd is Mental Health (including Community Mental Health Center), and the corresponding taxonomy classification code for this specialized field is 261Qm0801X.
On what date did the Lakeshore Clinic Ltd receive its 1407925985 assignment from the Centers for Medicare & Medicaid Services?
The Lakeshore Clinic Ltd was assigned its 1407925985 by the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the information regarding Lakeshore Clinic Ltd most recently updated?
The details pertaining to the Lakeshore Clinic Ltd, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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