Shanti Community Services, Llc | |
405 E Forest St Oconomowoc WI 53066-3707 | |
(262) 955-1079 | |
(262) 205-7089 |
Full Name | Shanti Community Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 405 E Forest St, Oconomowoc, Wisconsin |
Authorized Official Name and Position | Sharon Louise Kleppe (OWNER) |
Authorized Official Contact | 2622122764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shanti Community Services, Llc 405 E Forest St Oconomowoc WI 53066-3707 Ph: (262) 955-1079 | Shanti Community Services, Llc 405 E Forest St Oconomowoc WI 53066-3707 Ph: (262) 955-1079 |
NPI Number | 1508565342 |
---|---|
Provider Enumeration Date | 03/01/2023 |
Last Update Date | 03/01/2023 |
Certification Date | 03/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508565342 | NPI | - | NPPES |
100180598 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 9 days ago
Mark H Rossing Mdsc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl, Suite 211, Oconomowoc, WI 53066 Phone: 262-567-1122 Fax: 262-567-1481 | |
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