Eating Disorder Support Network

LBN: Eating Disorder Support Network
Eating Disorder Support Network is an health care organization with primary practice located at 429 Gammon Pl Ste 200 , Madison WI 53719-1053. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Eating Disorder Support Network can be contacted via phone (608) 843-7055, or through Walden, Melissa J via phone (608) 843-7055.

Contact Information

Primary practice address
429 Gammon Pl Ste 200 Madison WI 53719-1053
Phone: (608) 843-7055
Fax: (608) 821-0938
Website:
Map and Directions
Authorized official contact:
Name: Walden, Melissa J MS, LPC
Phone: (608) 843-7055

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1114599131
LBN Legal business name Eating Disorder Support Network
DBA Doing business as
Authorized official Walden, Melissa J MS, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114599131 NPPES
Wisconsin Other NA NA

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