| Red Willow Therapy, Llc | |
|
111 S 1st St Madison WI 53704-5244 | |
| (608) 225-4002 | |
| (608) 255-2752 |
| Full Name | Red Willow Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 111 S 1st St, Madison, Wisconsin |
| Authorized Official Name and Position | Curtis Tindall (OWNER) |
| Authorized Official Contact | 6082254002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Willow Therapy, Llc 415 Llanos St Verona WI 53593-1945 Ph: (608) 225-4002 | Red Willow Therapy, Llc 111 S 1st St Madison WI 53704-5244 Ph: (608) 225-4002 |
| NPI Number | 1578143327 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578143327 | NPI | - | NPPES |
| 100053846 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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