institution
Moontree Psychotherapy Center, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, Wisconsin
NPI 1598981318

Moontree Psychotherapy Center, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Madison, WI and is specialized in Mental Health (Including Community Mental Health Center). Moontree Psychotherapy Center, Llc practices in Madison, WI. The NPI Number for Moontree Psychotherapy Center, Llc is 1598981318 and holds a License No. 1916 (Wisconsin).

The current practice location address for Moontree Psychotherapy Center, Llc is 401 Wisconsin Ave, Madison, WI and can be reached out via phone at 608-256-5115 and via fax at 608-256-5116.

Location: 401 Wisconsin Ave, Madison, WI, 53703-1487
institution
Provider Profile Details
NPI Number
1598981318
Provider Name
Moontree Psychotherapy Center, Llc
Credential
Provider Entity Type
Organization
Address
401 Wisconsin Ave, Madison, WI, 53703-1487
Phone Number
608-256-5115
Fax Number
608-256-5116
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42174900 05 WI
84950 01 WI WPS
institution
Provider Business Practice Location Address Details
Address
401 Wisconsin Ave
City
State
Zip
53703-1487
Phone Number
608-256-5115
Fax Number
608-256-5116
person
Provider Business Mailing Address Details
Address
401 Wisconsin Ave
City
State
Zip
53703-1487
Phone Number
608-256-5115
Fax Number
608-256-5116
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1916 (Wisconsin)
Definition
Definition to come...
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