Young, Shani A

Young, Shani A is an sole proprietor health care provider with primary practice located at 5104 N 20Th St , Milwaukee WI 53209-5717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Young, Shani A can be contacted via phone (414) 630-1169.

Contact Information

Primary practice address
5104 N 20Th St Milwaukee WI 53209-5717
Phone: (414) 630-1169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20467-130 Wisconsin

Profile Details

NPI number 1124753959
LBN Legal business name Young, Shani A
Credentials LIFE COACH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2022
Last updated Jan 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124753959 NPPES
Wisconsin Other 101YA0400X WI STATE DSPS
Wisconsin Other 171400000X WI STATE DSPS

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