MEDICARE: SHOREVIEW COUNSELING SERVICES

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		WI

General Provider Information

NPI Number	:	1962839589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOREVIEW COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	4950 N 21ST ST
Second Line	:	LOWER LEVEL
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5750
Country	:	US
Telephone Number	:	414-301-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 N 21ST ST
Second Line	:	LOWER LEVEL
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5750
Country	:	US
Telephone Number	:	414-301-1163
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ALBERT L JACKSON
Credential	:
Telephone Number	:	414-301-1163

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

Similar Medicare Providers

1447107347 — DIVERSE CARE SERVICES LLC
Practice Location Address:

4950 N 21ST ST
MILWAUKEE, WI
53209-5750

Practice Phone: 414-242-2627
Practice Fax:

1194879270 — KURT ALT PT
Practice Location Address:

5750 N GLEN PARK RD
GLENDALE, WI
53209-4403

Practice Phone: 414-351-8888
Practice Fax: 414-351-5219

1679429872 — PROLIFIC CARE HOMES 2 LLC
Practice Location Address:

3909 W GOOD HOPE RD
MILWAUKEE, WI
53209-2334

Practice Phone: 262-613-0816
Practice Fax: 262-613-0816

1144176124 — NICOLE THOMPSON PASS TRAINING
Practice Location Address:

5715 N 37TH ST
MILWAUKEE, WI
53209-4015

Practice Phone: 414-326-6575
Practice Fax:

1689366387 — JONATHAN MORALES VALADEZ PCTL
Practice Location Address:

6025 N GREEN BAY AVE STE 2
MILWAUKEE, WI
53209-3750

Practice Phone: 414-247-0801
Practice Fax:

1659536969 — BRET VALENTINE MD
Practice Location Address:

3003 W GOOD HOPE RD
MILWAUKEE, WI
53209-2042

Practice Phone: 414-352-3100
Practice Fax:

Directions to “SHOREVIEW COUNSELING SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.