GREYLEY WELLNESS LLC NPI 1093256604

NPI Information

NPI: 1093256604
Provider Name: GREYLEY WELLNESS LLC

Former Legal Business Name: MADISON TRAUMA THERAPY LLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2010 EASTWOOD DR STE 300
MADISON, WI
ZIP 53704
Phone: (608) 509-9287
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GREYLEY WELLNESS LLC is a mental health counselor in Madison, WI. GREYLEY WELLNESS LLC NPI is 1093256604. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Madison Trauma Therapy Llc.

The provider's business location address is:

2010 EASTWOOD DR STE 300
MADISON, WI
ZIP 53704-387
Phone: (608) 509-9287
Fax: (608) 630-8089

The provider's authorized official is Nicole E Moll .
The authorized official title is Owner and has the following contact phone number (608) 419-6103.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100176083	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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