Different Shades Of Healing, Llc

LBN: Different Shades Of Healing, Llc
Different Shades Of Healing, Llc is an health care organization with primary practice located at 6830 W Villard Ave Ste 190 , Milwaukee WI 53218-3968. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Different Shades Of Healing, Llc can be contacted via phone (262) 320-7886, or through Jackson, Nastassia via phone (414) 265-6156.

Contact Information

Primary practice address
6830 W Villard Ave Ste 190 Milwaukee WI 53218-3968
Phone: (262) 320-7886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Nastassia LPC-IT
Phone: (414) 265-6156

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1033772058
LBN Legal business name Different Shades Of Healing, Llc
DBA Doing business as
Authorized official Jackson, Nastassia LPC-IT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2019
Last updated Apr 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033772058 NPPES
Wisconsin MEDICAID 100071680

Popular Providers