Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harbor Shore Wellness PLLC

Organization Clinical Social Worker · NPI 1104520840

Harbor Shore Wellness PLLC is a Clinical Social Worker in Kenosha, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8114 41st Ave
Kenosha, WI 53142
Phone: (262) 358-3592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104520840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rocha — Psychotherapist · (262) 358-3592
Other names Harbor Shore Wellness
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 8, 2023
Mailing address8114 41st Ave, Kenosha, WI 53142-4544

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