Organization Name: | SAFE HARBOR COUNSELING AND WELLNESS LLC |
NPI Number: | 1396191615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONIQUE M LITERSKY (PSYCHOTHERAPIST) |
Mailing Address: | 2206a Forest Ave Two Rivers |
State: | WI US |
Postal Code: | 542411912 |
Phone Number: | 9203235354 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2016 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 7204123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |