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

Shani A Young, LIFECOACH

Individual provider Professional Counselor · NPI 1124753959

Shani A Young, LIFECOACH is a Professional Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
Specialties on file
3

Practice location Address checks out

5104 N 20th St
Milwaukee, WI 53209-5717
Phone: (414) 630-1169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20467-130 (WI)
Professional Counselor Taxonomy 101YP2500X
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1124753959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIFECOACH
Sole proprietorYes
NPI enumeratedJuly 17, 2022
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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