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Wisconsin Therapy Center Llc
Adolescent and Children Mental Health Clinic/Center in Madison, Wisconsin
NPI 1538684121

Wisconsin Therapy Center Llc is an Adolescent and Children Mental Health Clinic/Center based in Madison, WI and is specialized in Adolescent and Children Mental Health. Wisconsin Therapy Center Llc practices in Madison, WI. The NPI Number for Wisconsin Therapy Center Llc is 1538684121 and holds a License No. 2414-12 (Wisconsin).

The current practice location address for Wisconsin Therapy Center Llc is 402 Gammon Pl Ste 290, Madison, WI and can be reached out via phone at 608-833-9770 and via fax at 608-833-1197. You can also correspond with Wisconsin Therapy Center Llc through the mailing address at PO BOX 14421, MADISON, WI - 53708-0421 (mailing address contact number: 608-833-9770).

Location: 402 Gammon Pl Ste 290, Madison, WI, 53708-0421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538684121
Provider Name
Wisconsin Therapy Center Llc
Credential
Provider Entity Type
Organization
Address
402 Gammon Pl Ste 290, Madison, WI, 53708-0421
Phone Number
608-833-9770
Fax Number
608-833-1197
Provider Enumeration Date
08/04/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
402 Gammon Pl Ste 290
City
Madison
State
Wisconsin
Zip
53719-1075
Phone Number
608-833-9770
Fax Number
608-833-1197
person
Provider Business Mailing Address Details
Address
402 Gammon Pl Ste 290
City
Madison
State
Wisconsin
Zip
53719-1075
Phone Number
608-833-9770
Fax Number
608-833-1197
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2414-12 (Wisconsin)
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.
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