Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANI A YOUNG, LIFE COACH

Deactivated Sole Proprietor

SHANI A YOUNG, LIFE COACH is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MILWAUKEE, Wisconsin. NPI 1124753959 is deactivated in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MILWAUKEE, WI

This NPI has been deactivated. The record was deactivated on January 18, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1124753959
Provider Type: Individual
Gender: Female
NPI Issued: Jul 17, 2022 (1.5054644808743 yrs)
Last Updated: Jan 30, 2024
Deactivated: Jan 18, 2024
License: 20467-130 (WI)
Sole Proprietor: Yes

Practice Information

Address: 5104 N 20TH ST

MILWAUKEE, WI, 532095717
Browse WI providers · Browse ZIP 53209
Phone: 4146301169
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X
Additional Specialty: Health & Wellness Coach
Additional Specialty: Addiction (Substance Use Disorder) Counselor

Other Addiction (Substance Use Disorder) Counselor Providers in MILWAUKEE, WI

Name	Credential	NPI
LORIE GOESER	CADC, COTA, CSAC	1255397774
NADINE MELESKI	CADC III, RCS	1750302956
MRS. PAMELA HOWARD BLASZAK	LPC, CSAC	1316953953
MR. DANIEL NOWAK	CADCIII	1568478105
MARTHA WILLIAMSON	CSAC, ICS	1720095318
DAVID GEIER	MS BS BA CADCIII	1689786329

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.