Open Door Center For Change Llc in Madison - Mental Health (including Community Mental Health Center)
Open Door Center For Change Llc - NPI 1215068069
Open Door Center For Change Llc is a Mental Health (including Community Mental Health Center) in Madison, Wisconsin. Open Door Center For Change Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Open Door Center For Change Llc is 1215068069. The last update date is 2023-04-12.
Open Door Center For Change Llc's current location address is 6502 Grand Teton Plz Ste 102, Madison, Wisconsin. You can contact this provider via phone number 6088277220 and fax number 6088277223. The mailing address for Open Door Center For Change Llc is 6502 Grand Teton Plz Ste 102, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Door Center For Change Llc |
|---|---|
| Address | 6502 Grand Teton Plz Ste 102, Madison, Wisconsin |
| Phone Number | 6088277220 |
| Fax Number | 6088277223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Mosher-Garvey J Amy |
| Credentials | LCSW, CSAC |
| Telephone Number | 6088277220 |
NPI Number Detail
| NPI Number | 1215068069 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2023-04-12 |
Provider Mailing Address Detail
| Address | 6502 Grand Teton Plz Ste 102 |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537191047 |
| Phone Number | 6088277220 |
| Fax Number | 6088277223 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42198900 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Open Door Center For Change Llc by the Centers for Medicare & Medicaid Services?
The Open Door Center For Change Llc has been issued the NPI (National Provider Identifier) 1215068069. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Open Door Center For Change Llc?
The Open Door Center For Change Llc is physically situated at 6502 Grand Teton Plz Ste 102, in the city of Madison, state of WI, with the postal code 537191047.
What is the Open Door Center For Change Llc's specialty and taxonomy code?
The Open Door Center For Change Llc's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215068069 to Open Door Center For Change Llc?
The Centers for Medicare & Medicaid Services assigned the 1215068069 to Open Door Center For Change Llc on 2007-03-07.
When was the information regarding Open Door Center For Change Llc most recently updated?
The details pertaining to the Open Door Center For Change Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-04-12.