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Moston Legacy Llc
Adult Mental Health Clinic/Center in Madison, Wisconsin
NPI 1780447565

Moston Legacy Llc is an Adult Mental Health Clinic/Center based in Madison, WI and is specialized in Adult Mental Health. Moston Legacy Llc practices in Madison, WI. The NPI Number for Moston Legacy Llc is 1780447565 and holds a License No. (Wisconsin).

The current practice location address for Moston Legacy Llc is 7633 Ganser Way Ste 103, Madison, WI and can be reached out via phone at 608-305-4221.

Location: 7633 Ganser Way Ste 103, Madison, WI, 53719-2092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780447565
Provider Name
Moston Legacy Llc
Credential
Provider Entity Type
Organization
Address
7633 Ganser Way Ste 103, Madison, WI, 53719-2092
Phone Number
608-305-4221
Fax Number
Provider Enumeration Date
02/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7633 Ganser Way Ste 103
City
Madison
State
Wisconsin
Zip
53719-2092
Phone Number
608-305-4221
Fax Number
person
Provider Business Mailing Address Details
Address
7633 Ganser Way Ste 103
City
Madison
State
Wisconsin
Zip
53719-2092
Phone Number
608-305-4221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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.
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