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NPI Code Detail

MEDICARE: SOUTH SHORE COUNSELING

MEDICARE: SOUTH SHORE COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1467303297
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH SHORE COUNSELING
Provider Business Mailing Address
First Line : N91W17194 APPLETON AVE STE 204
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2083
Country : US
Telephone Number : 414-502-7780
Fax Number :
Provider Business Practice Location Address
First Line : N91W17194 APPLETON AVE STE 204
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2083
Country : US
Telephone Number : 414-502-7780
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : GINA BRINDOWSKI
Credential : LPC, SAC
Telephone Number : 414-502-7780
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “SOUTH SHORE COUNSELING ” Practice Location

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