Madison Psychotherapy Center, Llc

LBN: Madison Psychotherapy Center, Llc
Madison Psychotherapy Center, Llc is an health care organization with primary practice located at 702 N Blackhawk Ave Suite 205, Madison WI 53705-3357. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Madison Psychotherapy Center, Llc can be contacted via phone (608) 233-3037, or through Miller, Mary Ellen via phone (608) 233-3037.

Contact Information

Primary practice address
702 N Blackhawk Ave Suite 205 Madison WI 53705-3357
Phone: (608) 233-3037
Fax: (608) 233-5893
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mary Ellen MS LPC
Phone: (608) 233-3037

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063804870
LBN Legal business name Madison Psychotherapy Center, Llc
DBA Doing business as
Authorized official Miller, Mary Ellen MS LPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2015
Last updated Mar 3rd, 2015 - about 11 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 1063804870 NPPES
Wisconsin MEDICAID 1902023435

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