| Inner Haven Wellness, Llc | |
|
401 Charmany Dr Madison WI 53719-1272 | |
| (608) 733-0268 | |
| Not Available |
| Full Name | Inner Haven Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 Charmany Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Nina Golemi (CO-FOUNDER) |
| Authorized Official Contact | 9202480578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Haven Wellness, Llc 818 West Street Suite 814 Watertown WI 53094-3608 Ph: (920) 322-5483 | Inner Haven Wellness, Llc 401 Charmany Dr Madison WI 53719-1272 Ph: (608) 733-0268 |
| NPI Number | 1225780422 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225780422 | NPI | - | NPPES |
| 100204138 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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