Organization
SHANTI COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LOUISE KLEPPE LPC (OWNER)
(262) 212-2764
Entity
Organization
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(262) 955-1079
(262) 205-7089
Mailing address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(262) 955-1079
(262) 205-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180598
—
WI
Enumeration date
03/01/2023
Last updated
03/01/2023
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