| Healthyminds, Llc | |
|
6510 Grand Teton Plz Madison WI 53719-1029 | |
| (608) 239-8807 | |
| Not Available |
| Full Name | Healthyminds, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6510 Grand Teton Plz, Madison, Wisconsin |
| Authorized Official Name and Position | Andrew David Peterson (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 6082398807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthyminds, Llc 6510 Grand Teton Plz Madison WI 53719-1029 Ph: (608) 239-8807 | Healthyminds, Llc 6510 Grand Teton Plz Madison WI 53719-1029 Ph: (608) 239-8807 |
| NPI Number | 1942780432 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 6709297906 |
|---|---|
| Medicare Enrollment ID | O20201119000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942780432 | NPI | - | NPPES |
| 100007732 | Medicaid | WI |
| Provider Name | Jane A Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508089319 PECOS PAC ID: 9537343769 Enrollment ID: I20110412000536 |
| Provider Name | Candice N Dienberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376968073 PECOS PAC ID: 8426487372 Enrollment ID: I20200330000235 |
| Provider Name | Madison M Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164999272 PECOS PAC ID: 6608287818 Enrollment ID: I20201119000835 |
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