Wildflower Expressive Arts Therapies LLC
Counselor, Mental Health in Madison, WI. Organization (NPI-2).
NPI number1558090738
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1558090738
- Entity type
- Organization (NPI-2)
- Legal business name
- Wildflower Expressive Arts Therapies LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Nov 3, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 221700000X | Art Therapist | – | – |
Practice location
700 Rayovac Dr.Suite 320
Madison, WI 53711-5371
Phone 608-520-0846
Mailing address
3600 Carncross DrMcFarland, WI 53558-9617
Phone 608-217-8757
Authorized official
Kelly J Toltzien
Director, Owner
6085200846
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