Family Therapy Center Of Madison, Inc.

LBN: Family Therapy Center Of Madison, Inc.
Family Therapy Center Of Madison, Inc. is an health care organization with primary practice located at 700 Ray O Vac Dr Suite 220, Madison WI 53711-2479. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Family Therapy Center Of Madison, Inc. can be contacted via phone (608) 276-9191, or through Faynik, Carol via phone (608) 276-9191.

Contact Information

Primary practice address
700 Ray O Vac Dr Suite 220 Madison WI 53711-2479
Phone: (608) 276-9191
Fax: (608) 276-9144
Website:
Map and Directions
Authorized official contact:
Name: Faynik, Carol
Phone: (608) 276-9191

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1164587150
LBN Legal business name Family Therapy Center Of Madison, Inc.
DBA Doing business as
Authorized official Faynik, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 25th, 2013 - about 12 years 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 1164587150 NPPES
Wisconsin MEDICAID 42111900

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