| Lakeshore Clinic Ltd | |
|
3970 N Oakland Ave Suite 502 Milwaukee WI 53211 | |
| (414) 962-9909 | |
| (414) 332-8596 |
| Full Name | Lakeshore Clinic Ltd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3970 N Oakland Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Patricia K Briceno (ADMINISTRATOR) |
| Authorized Official Contact | 4149629909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Clinic Ltd 3970 N Oakland Ave Suite 502 Milwaukee WI 53211 Ph: (414) 962-9909 | Lakeshore Clinic Ltd 3970 N Oakland Ave Suite 502 Milwaukee WI 53211 Ph: (414) 962-9909 |
| NPI Number | 1407925985 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407925985 | NPI | - | NPPES |
| 42106900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1497 (Wisconsin) | Primary |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
Milwaukee Health Service Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Foundation, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |