Lakeshores Outpatient Clinic
Lakeshores Outpatient Clinic is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
3917 47th AveKenosha, WI 53144-1956
Phone: (262) 656-9975
Fax: (262) 656-9974
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 2605 (WI) |
|---|
Record details
| NPI number | 1629111943 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melanie Barbeaux-Stinson — Director · (262) 656-9975 |
| Other names | Brotoloc |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3917 47th Ave, Kenosha, WI 53144-1956 |
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