Manifest Wellness, Llc

LBN: Manifest Wellness, Llc
Manifest Wellness, Llc is an health care organization with primary practice located at 2701 International Ln Ste 105 , Madison WI 53704-3126. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Manifest Wellness, Llc can be contacted via phone (608) 291-3676, or through Klekamp, Jennifer via phone (608) 982-7698.

Contact Information

Primary practice address
2701 International Ln Ste 105 Madison WI 53704-3126
Phone: (608) 291-3676
Fax: (608) 716-3156
Website:
Map and Directions
Authorized official contact:
Name: Klekamp, Jennifer LPC, SAC
Phone: (608) 982-7698

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1750064283
LBN Legal business name Manifest Wellness, Llc
DBA Doing business as
Authorized official Klekamp, Jennifer LPC, SAC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2023
Last updated Nov 15th, 2023 - about last year

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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