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SYNERGOS COUNSELING LLC NPI 1124545199


NPI Information

NPI: 1124545199
Provider Name: SYNERGOS COUNSELING LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5250 E TERRACE DR
MADISON, WI
ZIP 53718
Phone: (773) 699-2415
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SYNERGOS COUNSELING LLC is a counselor in Madison, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SYNERGOS COUNSELING LLC NPI is 1124545199. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5250 E TERRACE DR
MADISON, WI
ZIP 53718-345
Phone: (773) 699-2415
Fax: (608) 554-1052

The provider's authorized official is Nicole Marie Bell .
The authorized official title is Owner/licensed Psychotherapist and has the following contact phone number (773) 699-2415.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor5524-125WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629445713MEDICAIDWISCONSIN

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

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