| Inner Essence Center | |
|
319 Seth Cir Madison WI 53716-2120 | |
| (608) 345-3552 | |
| Not Available |
| Full Name | Inner Essence Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 319 Seth Cir, Madison, Wisconsin |
| Authorized Official Name and Position | Kristine Gay (PRESIDENT) |
| Authorized Official Contact | 6083453552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Essence Center 319 Seth Cir Madison WI 53716-2120 Ph: (608) 345-3552 | Inner Essence Center 319 Seth Cir Madison WI 53716-2120 Ph: (608) 345-3552 |
| NPI Number | 1881726370 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881726370 | NPI | - | NPPES |
| WI2256 | Other | WI | MEDICARE PTAN |
| 42197500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2437-123 (Wisconsin) | Primary |
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