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NPI Code Detail

MEDICARE: MELISSA SHI LMFT NO. 1376-124

MEDICARE: MELISSA SHI LMFT NO. 1376-124
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
1106H00000XMarriage & Family Therapist1376124WI
2106H00000XMarriage & Family Therapist689-228WI
3106H00000XMarriage & Family Therapist1376-124WI

General Provider Information

NPI Number : 1962061218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SHI LMFT NO. 1376-124
Provider Business Mailing Address
First Line : 111 E WISCONSIN AVE STE 1500
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4808
Country : US
Telephone Number : 414-328-1850
Fax Number :
Provider Business Practice Location Address
First Line : 111 E WISCONSIN AVE STE 1500
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4808
Country : US
Telephone Number : 414-328-1850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 09/02/2025

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Directions to “ MELISSA SHI LMFT NO. 1376-124” Practice Location

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