| Life History Services, Llc | |
|
503 S Dickinson St Madison WI 53703-4061 | |
| (608) 255-9669 | |
| Not Available |
| Full Name | Life History Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 503 S Dickinson St, Madison, Wisconsin |
| Authorized Official Name and Position | Anita Hecht (DIRECTOR) |
| Authorized Official Contact | 6082559669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life History Services, Llc 503 S Dickinson St Madison WI 53703-4061 Ph: (608) 255-9669 | Life History Services, Llc 503 S Dickinson St Madison WI 53703-4061 Ph: (608) 255-9669 |
| NPI Number | 1871676619 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871676619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4343-123 (Wisconsin) | Primary |
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