| Different Shades Of Healing, Llc | |
|
6830 W Villard Ave Ste 190 Milwaukee WI 53218-3968 | |
| (262) 320-7886 | |
| Not Available |
| Full Name | Different Shades Of Healing, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6830 W Villard Ave Ste 190, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nastassia Jackson (THERAPIST/OWNER) |
| Authorized Official Contact | 4142656156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Different Shades Of Healing, Llc 4752 N 78th Ct Milwaukee WI 53218-4643 Ph: () - | Different Shades Of Healing, Llc 6830 W Villard Ave Ste 190 Milwaukee WI 53218-3968 Ph: (262) 320-7886 |
| NPI Number | 1033772058 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033772058 | NPI | - | NPPES |
| 100071680 | Medicaid | WI |
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