| Integrated Roots Therapy Llc | |
|
2002 Atwood Ave Ste 217 Madison WI 53704-5382 | |
| (608) 352-6211 | |
| Not Available |
| Full Name | Integrated Roots Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2002 Atwood Ave Ste 217, Madison, Wisconsin |
| Authorized Official Name and Position | Jennifer Lee Smith (OWNER) |
| Authorized Official Contact | 2626851918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Roots Therapy Llc 4810 Ilene Ln Madison WI 53704-1425 Ph: (262) 685-1918 | Integrated Roots Therapy Llc 2002 Atwood Ave Ste 217 Madison WI 53704-5382 Ph: (608) 352-6211 |
| NPI Number | 1568202380 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Medicare PECOS PAC ID | 9830632538 |
|---|---|
| Medicare Enrollment ID | O20240624000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568202380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922644848 PECOS PAC ID: 7214307669 Enrollment ID: I20221230000757 |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-616-0118 Fax: 608-663-5928 | |
Creating Space, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1915 Winnebago St Ste 101, Madison, WI 53704 Phone: 608-205-8205 Fax: 608-999-7313 | |
Think & Grow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Landmark Pl Ste 215, Madison, WI 53713 Phone: 608-957-7277 Fax: 608-252-1333 | |
Adhd Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 S Yellowstone Dr Ste 217b, Madison, WI 53719 Phone: 608-467-2332 | |
Comprehensive Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5709 Divine St, Madison, WI 53718 Phone: 608-504-1492 | |
Golden Mend Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave Ste 220, Madison, WI 53713 Phone: 608-729-8696 | |
The Family Resource Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Price Pl Ste 11, Madison, WI 53705 Phone: 608-575-7518 |