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NPI Code Detail

MEDICARE: SHIFT CONSULTING MKE LLC

MEDICARE: SHIFT CONSULTING MKE LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1508714585
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHIFT CONSULTING MKE LLC
Provider Business Mailing Address
First Line : 7107 ESCONDIDO DR
Second Line :
City : ROSHARON
State : TX
Zip : 77583-4481
Country : US
Telephone Number : 414-585-0760
Fax Number : 414-585-0768
Provider Business Practice Location Address
First Line : 3422 BUSINESS CENTER DR STE 106
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4159
Country : US
Telephone Number : 414-585-0760
Fax Number : 414-585-0768
Authorized Official
Title or Position : DIRECTOR
Name : CLARINDRIA M ADDISON
Credential : LPC
Telephone Number : 414-585-0760
Provider Enumeration Date : 03/17/2026
Last Update Date : 04/06/2026

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Directions to “SHIFT CONSULTING MKE LLC ” Practice Location

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