Shorehaven Behavioral Health

LBN: Shorehaven Behavioral Health
Shorehaven Behavioral Health is an health care organization with primary practice located at 3900 W Brown Deer Rd , Brown Deer WI 53209-1220. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as the primary health care specialty. Shorehaven Behavioral Health can be contacted via phone (414) 540-2170, or through Szada, Kristina Kaye via phone (414) 540-2170.

Contact Information

Primary practice address
3900 W Brown Deer Rd Brown Deer WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Website:
Map and Directions
Authorized official contact:
Name: Szada, Kristina Kaye M.S., ATR
Phone: (414) 540-2170

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1245384957
LBN Legal business name Shorehaven Behavioral Health
DBA Doing business as
Authorized official Szada, Kristina Kaye M.S., ATR
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245384957 NPPES
Wisconsin MEDICAID 43708900

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