| Mb Psychotherapy Llc | |
|
4502 Gregg Rd Madison WI 53705-4918 | |
| (312) 999-0201 | |
| Not Available |
| Full Name | Mb Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4502 Gregg Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Mandi Lee Buss (OWNER & FOUNDER) |
| Authorized Official Contact | 3129990201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Psychotherapy Llc 345 W. Washington Ave Suite 301 #2011 Madison WI 53703 Ph: (312) 999-0201 | Mb Psychotherapy Llc 4502 Gregg Rd Madison WI 53705-4918 Ph: (312) 999-0201 |
| NPI Number | 1750277422 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750277422 | NPI | - | NPPES |
| 1265017149 | Other | NPI-1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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