Modern Therapy Madison, Llc

LBN: Modern Therapy Madison, Llc
Modern Therapy Madison, Llc is an health care organization with primary practice located at 9314 Golden Hue Blvd , Madison WI 53593. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Modern Therapy Madison, Llc can be contacted via phone (608) 616-5019, or through Holder, Amy via phone (608) 616-5018.

Contact Information

Primary practice address
9314 Golden Hue Blvd Madison WI 53593
Phone: (608) 616-5019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holder, Amy Licensed Professional Counselor (LPC)
Phone: (608) 616-5018

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1932817921
LBN Legal business name Modern Therapy Madison, Llc
DBA Doing business as
Authorized official Holder, Amy Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2022
Last updated Apr 17th, 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.

Request for update

Popular Providers