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DIFFERENT SHADES OF HEALING, LLC
NPI 1033772058
Clinic/Center - Adolescent and Children Mental Health in Milwaukee, WI

Active since April 16, 2019
6830 W VILLARD AVE STE 190, MILWAUKEE, WI 53218(262) 320-7886 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Different Shades Of Healing, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIFFERENT SHADES OF HEALING, LLC (NPI 1033772058), doing business as Different Shades Of Healing, is a healthcare organization registered as an adolescent and children mental health in Milwaukee, Wisconsin and active in the NPI registry since April 2019. The organization lists Nastassia Jackson, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1033772058
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameDIFFERENT SHADES OF HEALING, LLC
Location Address6830 W VILLARD AVE STE 190Milwaukee, WI 53218-3968
Mailing Address4752 N 78th CtMilwaukee, WI 53218-4643
Phone(262) 320-7886
Organization SubpartNo
Authorized OfficialNastassia JacksonTherapist/owner · (414) 265-6156
Enumeration DateApril 16, 2019
✔ NPI 1033772058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
6830 W VILLARD AVE STE 190, Milwaukee, WI 53218
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Other Names 1

Doing Business AsDifferent Shades Of Healing

Other Identifiers 1

Medicaid100071680WI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HEATHER MARTIN
Social Worker (Clinical)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886
MS. NASTASSIA S JACKSON LPC-IT
Counselor (Mental Health)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886
HEATHER SMITH
Counselor (Mental Health)
6830 W VILLARD AVE STE 190
MILWAUKEE, WI 53218
Milwaukee County (262) 320-7886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Different Shades Of Healing, LLC's NPI number?

The NPI number for Different Shades Of Healing, LLC is 1033772058. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is doing business as Different Shades of Healing.

Where is Different Shades Of Healing, LLC located?

Different Shades Of Healing, LLC is located at 6830 W Villard Ave Ste 190, Milwaukee, WI 53218. The listed phone number is (262) 320-7886.

What is Different Shades Of Healing, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Different Shades Of Healing, LLC was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.