Madison Psychotherapy Center, Llc | |
702 N Blackhawk Ave Suite 205 Madison WI 53705-3357 | |
(608) 233-3037 | |
(608) 233-5893 |
Full Name | Madison Psychotherapy Center, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 702 N Blackhawk Ave, Madison, Wisconsin |
Authorized Official Name and Position | Mary Ellen Miller (CLINIC DIRECTOR) |
Authorized Official Contact | 6082333037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Madison Psychotherapy Center, Llc 702 N Blackhawk Ave Suite 205 Madison WI 53901-3357 Ph: (608) 233-3037 | Madison Psychotherapy Center, Llc 702 N Blackhawk Ave Suite 205 Madison WI 53705-3357 Ph: (608) 233-3037 |
NPI Number | 1063804870 |
---|---|
Provider Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063804870 | NPI | - | NPPES |
1902023435 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 9 days ago
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