| Love Psychotherapy, Llc | |
|
16 N Carroll St Ste 450b Madison WI 53703-2716 | |
| (608) 960-5953 | |
| Not Available |
| Full Name | Love Psychotherapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16 N Carroll St Ste 450b, Madison, Wisconsin |
| Authorized Official Name and Position | Eros Dialogos (CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 7153508978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Psychotherapy, Llc 8845 Red Beryl Dr Middleton WI 53562-4276 Ph: (608) 960-5953 | Love Psychotherapy, Llc 16 N Carroll St Ste 450b Madison WI 53703-2716 Ph: (608) 960-5953 |
| NPI Number | 1821701731 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821701731 | NPI | - | NPPES |
| 100165504 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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