Nova Mental Health Services, Llc | |
4465 N Oakland Ave Ste 360 Shorewood WI 53211-1681 | |
(414) 775-3278 | |
Not Available |
Full Name | Nova Mental Health Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 4465 N Oakland Ave Ste 360, Shorewood, Wisconsin |
Authorized Official Name and Position | Tayler Simone Clark-condon (OWNER/ PSYCHOTHERAPIST) |
Authorized Official Contact | 6082139869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nova Mental Health Services, Llc 3034 S Wentworth Ave Milwaukee WI 53207-3017 Ph: (608) 213-9869 | Nova Mental Health Services, Llc 4465 N Oakland Ave Ste 360 Shorewood WI 53211-1681 Ph: (414) 775-3278 |
NPI Number | 1891375432 |
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Provider Enumeration Date | 04/08/2021 |
Last Update Date | 03/29/2023 |
Certification Date | 03/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891375432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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