Nelson-Johnson INC
Psychologist, Clinical in Madison, WI. Organization (NPI-2).
NPI number1669934121
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1669934121
- Entity type
- Organization (NPI-2)
- Legal business name
- Nelson-Johnson INC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2019
- Certification date
- Apr 11, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Other names
- Ames Mind Body Center (Doing Business As)
- Heartwork Counseling Center (Doing Business As)
Practice location
6649 Odana RdMadison, WI 53719-1011
Phone 608-699-9810
Mailing address
1203 Scott AveAmes, IA 50014-4039
Phone 847-736-2917
Other practice locations
4923 Lincoln Way Ste 102
Ames, IA 50014-3616
Ames, IA 50014-3616
Phone 515-292-4870 · Fax 833-597-4490
Authorized official
Ian Nelson-Johnson
Owner
8477362917
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