Shoreside Therapies

LBN: Shoreside Therapies
Shoreside Therapies is an health care organization with primary practice located at 4530 N Oakland Ave , Milwaukee WI 53211-1215. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Shoreside Therapies can be contacted via phone (414) 332-7000, or through Shertok, Nancy via phone (414) 332-7000.

Contact Information

Primary practice address
4530 N Oakland Ave Milwaukee WI 53211-1215
Fax: (414) 332-2368
Website:
Authorized official contact:
Name: Shertok, Nancy MSW,LCSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2844-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2138-123 Wisconsin

Profile Details

NPI number 1134334063
LBN Legal business name Shoreside Therapies
DBA Doing business as
Authorized official Shertok, Nancy MSW,LCSW
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 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 1134334063 NPPES
Wisconsin Other 2524 CERT MH OUTPATIENT CLINIC

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