| Krista Shabtaie Lcsw | |
|
933 N Mayfair Rd Ste 101 Milwaukee WI 53226-3432 | |
| (413) 478-8760 | |
| (414) 249-5443 |
| Full Name | Krista Shabtaie Lcsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 933 N Mayfair Rd Ste 101, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Krista Shabtaie (SOCIAL WORKER -- OWNER) |
| Authorized Official Contact | 4134788760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Shabtaie Lcsw 933 N Mayfair Rd Ste 101 Milwaukee WI 53226-3432 Ph: (413) 478-8760 | Krista Shabtaie Lcsw 933 N Mayfair Rd Ste 101 Milwaukee WI 53226-3432 Ph: (413) 478-8760 |
| NPI Number | 1578178315 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578178315 | NPI | - | NPPES |
| 1013482587 | Medicaid | WI |
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