Triquestrian, LLC
Social Worker, Clinical in Madison, WI. Organization (NPI-2).
NPI number1316580418
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1316580418
- Entity type
- Organization (NPI-2)
- Legal business name
- Triquestrian, LLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2019
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Triquestrian, LLC (Doing Business As)
Practice location
6410 Enterprise Ln Ste 210Madison, WI 53719-1143
Phone 608-400-3672 · Fax 608-422-4006
Mailing address
1408 Ashburn WayVerona, WI 53593-2263
Phone 608-206-4724 · Fax 608-422-4006
Other practice locations
996 Storytown Rd
Brooklyn, WI 53521-9456
Brooklyn, WI 53521-9456
Phone 608-206-4724 · Fax 608-422-4006
Authorized official
Tami Ra Bahr
Owner/Director
6082064724
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