| Mindful Growth Psychotherapy, Llc | |
|
715 Hill St Ste 130 Madison WI 53705-3572 | |
| (733) 150-3137 | |
| Not Available |
| Full Name | Mindful Growth Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 715 Hill St Ste 130, Madison, Wisconsin |
| Authorized Official Name and Position | Julia Harkins Arcand (LCSW) |
| Authorized Official Contact | 7733150313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Growth Psychotherapy, Llc 341 Westridge Pkwy Verona WI 53593-8348 Ph: (773) 315-0313 | Mindful Growth Psychotherapy, Llc 715 Hill St Ste 130 Madison WI 53705-3572 Ph: (733) 150-3137 |
| NPI Number | 1760183339 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 9931564507 |
|---|---|
| Medicare Enrollment ID | O20230503003308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760183339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julia C Harkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518269414 PECOS PAC ID: 9234313040 Enrollment ID: I20170130003043 |
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