Moontree Psychotherapy Center, Llc in Madison - Mental Health (including Community Mental Health Center)
Moontree Psychotherapy Center, Llc - NPI 1598981318
Moontree Psychotherapy Center, Llc is a Mental Health (including Community Mental Health Center) in Madison, Wisconsin. Moontree Psychotherapy Center, Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Moontree Psychotherapy Center, Llc is 1598981318. The last update date is 2020-08-22.
Moontree Psychotherapy Center, Llc's current location address is 401 Wisconsin Ave, Madison, Wisconsin. You can contact this provider via phone number 6082565115 and fax number 6082565116. The mailing address for Moontree Psychotherapy Center, Llc is 401 Wisconsin Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moontree Psychotherapy Center, Llc |
|---|---|
| Address | 401 Wisconsin Ave, Madison, Wisconsin |
| Phone Number | 6082565115 |
| Fax Number | 6082565116 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOTHER |
|---|---|
| Authorized Official Name | Decker Dale |
| Credentials | LCSW |
| Telephone Number | 6082565115 |
NPI Number Detail
| NPI Number | 1598981318 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 401 Wisconsin Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537031487 |
| Phone Number | 6082565115 |
| Fax Number | 6082565116 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 1916 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42174900 | WI | -- | |
| 84950 | WI | WPS |
Post Comment/ Review Below
What is the Moontree Psychotherapy Center, Llc's unique identification number?
The Moontree Psychotherapy Center, Llc has been assigned the NPI (National Provider Identifier) Number 1598981318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Moontree Psychotherapy Center, Llc is physically located?
The Moontree Psychotherapy Center, Llc is physically situated at the following address: 401 Wisconsin Ave, Madison, WI, 537031487.
What is Moontree Psychotherapy Center, Llc's area of expertise and its corresponding taxonomy classification?
The Moontree Psychotherapy Center, Llc's field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1598981318 assigned to Moontree Psychotherapy Center, Llc?
The Moontree Psychotherapy Center, Llc was issued its 1598981318 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Moontree Psychotherapy Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Moontree Psychotherapy Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.