Individual
SHARAYAH K PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16535 W BLUEMOUND RD STE 305, BROOKFIELD, WI 53005-5936
(800) 438-1770
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3367-226
WI
101YP2500X
Professional Counselor
Primary
7206-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084565
—
WI
Enumeration date
12/26/2018
Last updated
02/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us