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Civitas Therapy Llc
Adolescent and Children Mental Health Clinic/Center in Madison, Wisconsin
NPI 1821878414

Civitas Therapy Llc is an Adolescent and Children Mental Health Clinic/Center based in Madison, WI and is specialized in Adolescent and Children Mental Health. Civitas Therapy Llc practices in Madison, WI. The NPI Number for Civitas Therapy Llc is 1821878414 and holds a License No. (Wisconsin).

The current practice location address for Civitas Therapy Llc is 660 W Washington Ave Ste 310, Madison, WI and can be reached out via phone at 949-620-1831.

Location: 660 W Washington Ave Ste 310, Madison, WI, 53703-4703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821878414
Provider Name
Civitas Therapy Llc
Credential
Provider Entity Type
Organization
Address
660 W Washington Ave Ste 310, Madison, WI, 53703-4703
Phone Number
949-620-1831
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
660 W Washington Ave Ste 310
City
Madison
State
Wisconsin
Zip
53703-4703
Phone Number
949-620-1831
Fax Number
person
Provider Business Mailing Address Details
Address
660 W Washington Ave Ste 310
City
Madison
State
Wisconsin
Zip
53703-4703
Phone Number
949-620-1831
Fax Number
person
Provider's Taxonomy Details 1
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 2
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 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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