| Standard Of Care Counseling And Consultation Service Llc | |
|
4465 N Oakland Ave Unit 110 Shorewood WI 53211-1662 | |
| (414) 899-0111 | |
| Not Available |
| Full Name | Standard Of Care Counseling And Consultation Service Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4465 N Oakland Ave Unit 110, Shorewood, Wisconsin |
| Authorized Official Name and Position | Shalonda Renee Leflore (OWNER/PROVIDER) |
| Authorized Official Contact | 4148990111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Standard Of Care Counseling And Consultation Service Llc 4465 N Oakland Ave Unit 110 Milwaukee WI 53211-1662 Ph: (414) 899-0111 | Standard Of Care Counseling And Consultation Service Llc 4465 N Oakland Ave Unit 110 Shorewood WI 53211-1662 Ph: (414) 899-0111 |
| NPI Number | 1548960800 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548960800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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