| Water Tiger Psychotherapy, Llc | |
|
2002 Atwood Ave Ste 217 Madison WI 53704-5382 | |
| (920) 215-1254 | |
| Not Available |
| Full Name | Water Tiger Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2002 Atwood Ave Ste 217, Madison, Wisconsin |
| Authorized Official Name and Position | Sara Todd (OWNER) |
| Authorized Official Contact | 9202151254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Tiger Psychotherapy, Llc 100 Wilburn Rd Ste 100 Sun Prairie WI 53590-1478 Ph: (920) 215-1254 | Water Tiger Psychotherapy, Llc 2002 Atwood Ave Ste 217 Madison WI 53704-5382 Ph: (920) 215-1254 |
| NPI Number | 1922701812 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 09/09/2023 |
| Certification Date | 09/09/2023 |
| Medicare PECOS PAC ID | 8729449558 |
|---|---|
| Medicare Enrollment ID | O20230726003074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922701812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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