212 Psychotherapy Llc

LBN: 212 Psychotherapy Llc
212 Psychotherapy Llc is an health care organization with primary practice located at 7109 Brindley Cir , Madison WI 53719-2128. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. 212 Psychotherapy Llc can be contacted via phone (608) 205-8650, or through Hiser, Tanya Kc via phone (608) 516-4347.

Contact Information

Primary practice address
7109 Brindley Cir Madison WI 53719-2128
Phone: (608) 205-8650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hiser, Tanya Kc Licensed Professional Counselor (LPC)
Phone: (608) 516-4347

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1053941666
LBN Legal business name 212 Psychotherapy Llc
DBA Doing business as
Authorized official Hiser, Tanya Kc Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2020
Last updated May 9th, 2024 - about 6 months 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 1053941666 NPPES
Wisconsin MEDICAID 43741200
Wisconsin MEDICAID 100098189

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