Shani A Young, LIFE COACH - Counselor in Milwaukee, WI

Shani A Young, LIFE COACH is a Counselor - Addiction (substance Use Disorder) based in Milwaukee, Wisconsin. Shani A Young is licensed to practice in Wisconsin (license number 20467-130) and her current practice location is 5104 N 20th St, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 630-1169.

NPI number for Shani A Young is 1124753959 and her current mailing address is 5104 N 20th St, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124753959.

Contact Information

Shani A Young, LIFE COACH
5104 N 20th St,
Milwaukee, WI 53209-5717
(414) 630-1169
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShani A Young
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5104 N 20th St, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124753959
  • Provider Enumeration Date: 07/17/2022
  • Last Update Date: 01/30/2024

Medical Identifiers

Medical identifiers for Shani A Young such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124753959NPI-NPPES
101YA0400XOtherWIWI STATE DSPS
171400000XOtherEDUCATIONAL COURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
171400000XHealth & Wellness Coach (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 20467-130 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shani A Young is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shani A Young, LIFE COACH
5104 N 20th St,
Milwaukee, WI 53209-5717

Ph: (414) 630-1169
Shani A Young, LIFE COACH
5104 N 20th St,
Milwaukee, WI 53209-5717

Ph: (414) 630-1169

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