Metta Bhavana Llc

LBN: Metta Bhavana Llc
Metta Bhavana Llc is an health care organization with primary practice located at 330 W Lakeside St , Madison WI 53715-2072. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Metta Bhavana Llc can be contacted via phone (608) 561-7533, or through Coogan, Devin James via phone (505) 231-6658.

Contact Information

Primary practice address
330 W Lakeside St Madison WI 53715-2072
Phone: (608) 561-7533
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coogan, Devin James Licensed Clinical Social Worker (LCSW)
Phone: (505) 231-6658

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1386370476
LBN Legal business name Metta Bhavana Llc
DBA Doing business as
Authorized official Coogan, Devin James Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2022
Last updated Jun 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386370476 NPPES
Wisconsin Other 1740762327 NATIONAL PLAN AND PROVIDER SYSTEM

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