MODERN THERAPY MADISON, LLC; NPI #1932817921

Contact Information

MODERN THERAPY MADISON, LLC

9314 GOLDEN HUE BLVD
MADISON, WI 53593

Phone: 608-616-5019
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Mental Health	261QM0850X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for MODERN THERAPY MADISON, LLC

NPI #	`1932817921`
LBN Legal business name	MODERN THERAPY MADISON, LLC
Authorized official	AMY HOLDER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/09/2022
Last updated	04/17/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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