| Modern Therapy Madison, Llc | |
|
9314 Golden Hue Blvd Madison WI 53593 | |
| (608) 616-5019 | |
| Not Available |
| Full Name | Modern Therapy Madison, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9314 Golden Hue Blvd, Madison, Wisconsin |
| Authorized Official Name and Position | Amy Holder (OWNER) |
| Authorized Official Contact | 6086165018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Therapy Madison, Llc 6666 Odana Rd # 233 Madison WI 53719-1012 Ph: (608) 616-5018 | Modern Therapy Madison, Llc 9314 Golden Hue Blvd Madison WI 53593 Ph: (608) 616-5019 |
| NPI Number | 1932817921 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932817921 | NPI | - | NPPES |
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