| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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